SCN5A Variant L1067M Detail

We estimate the penetrance of LQTS for SCN5A L1067M around 6% and the Brugada syndrome penetrance around 6%. SCN5A L1067M was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. L1067M is not present in gnomAD. L1067M 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 L1067M around 6% (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 0.294 1 6
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.

L1067M 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
1052 15 A1052D, p.A1052CfsX7,
1053 14 E1053K,
1054 14
1055 13 D1055G,
1056 13 T1056A,
1057 12
1058 11 c.3171_3172delTGinsA,
1059 11 Q1059X,
1060 10
1061 9 E1061D,
1062 8 D1062H,
1063 8 E1063G,
1064 7 p.E1064del,
1065 5
1066 4 S1066G,
1067 0 L1067R,
1068 4 G1068A, G1068D,
1069 5 T1069M,
1070 7
1071 8 E1071K, p.E1071GfsX76,
1072 8 p.E1072del,
1073 9
1074 10 S1074G, S1074R,
1075 11
1076 11
1077 12 c.3228+2delT,
1078 13
1079 13 S1079Y, S1079T, S1079F,
1080 14
1081 14
1082 15 V1082A,