SCN5A Variant E1064A Detail

We estimate the penetrance of LQTS for SCN5A E1064A around 2% and the Brugada syndrome penetrance around 6%. SCN5A E1064A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1064A is not present in gnomAD. E1064A has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 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 E1064A around 2% (0/10) and the Brugada syndrome penetrance around 6% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.235 2 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 15 0 0 - -
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.

E1064A 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
1049 15
1050 14 p.A1050DfsX9, p.A1050CfsX9, A1050T,
1051 14 V1051A,
1052 13 A1052D, p.A1052CfsX7,
1053 13 E1053K,
1054 12
1055 11 D1055G,
1056 11 T1056A,
1057 10
1058 9 c.3171_3172delTGinsA,
1059 8 Q1059X,
1060 8
1061 7 E1061D,
1062 5 D1062H,
1063 4 E1063G,
1064 0 p.E1064del,
1065 4
1066 5 S1066G,
1067 7 L1067R,
1068 8 G1068D, G1068A,
1069 8 T1069M,
1070 9
1071 10 E1071K, p.E1071GfsX76,
1072 11 p.E1072del,
1073 11
1074 12 S1074R, S1074G,
1075 13
1076 13
1077 14 c.3228+2delT,
1078 14
1079 15 S1079Y, S1079T, S1079F,