SCN5A Variant E1060G Detail

We estimate the penetrance of LQTS for SCN5A E1060G around 3% and the Brugada syndrome penetrance around 17%. SCN5A E1060G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1060G is not present in gnomAD. E1060G has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (1 diagnosed with Brugada syndrome) and 5 individuals for LQTS (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A E1060G around 3% (0/10) and the Brugada syndrome penetrance around 17% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.582 19 1
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance Density is our previously published method to calculate the average BrS/LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT3 BrS1 Other Other Disease
LITERATURE, COHORT, AND GNOMAD: - 0 0 0 0 -
VARIANT FEATURES ALONE: - 15 14 0 1 - -
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

E1060G has 31 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
1045 15 V1045M,
1046 14
1047 14 c.3140_3141dupTG,
1048 13 P1048S, c.3142_3143insTG, p.P1048SfsX96,
1049 13
1050 12 p.A1050DfsX9, p.A1050CfsX9, A1050T,
1051 11 V1051A,
1052 11 A1052D, p.A1052CfsX7,
1053 10 E1053K,
1054 9
1055 8 D1055G,
1056 8 T1056A,
1057 7
1058 5 c.3171_3172delTGinsA,
1059 4 Q1059X,
1060 0
1061 4 E1061D,
1062 5 D1062H,
1063 7 E1063G,
1064 8 p.E1064del,
1065 8
1066 9 S1066G,
1067 10 L1067R,
1068 11 G1068D, G1068A,
1069 11 T1069M,
1070 12
1071 13 E1071K, p.E1071GfsX76,
1072 13 p.E1072del,
1073 14
1074 14 S1074R, S1074G,
1075 15