SCN5A Variant Q1080K Detail

We estimate the penetrance of LQTS for SCN5A Q1080K around 12% and the Brugada syndrome penetrance around 20%. SCN5A Q1080K was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Q1080K is not present in gnomAD. Q1080K has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (2 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 Q1080K around 12% (0/10) and the Brugada syndrome penetrance around 20% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.5 26 13
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 13 0 2 - -
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.

Q1080K 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
1065 15
1066 14 S1066G,
1067 14 L1067R,
1068 13 G1068D, G1068A,
1069 13 T1069M,
1070 12
1071 11 p.E1071GfsX76, E1071K,
1072 11 p.E1072del,
1073 10
1074 9 S1074R, S1074G,
1075 8
1076 8
1077 7 c.3228+2delT,
1078 5
1079 4 S1079F, S1079T, S1079Y,
1080 0
1081 4
1082 5 V1082A,
1083 7 S1083C,
1084 8 G1084D, G1084S, G1084R,
1085 8
1086 9
1087 10
1088 11 A1088V, A1088T,
1089 11
1090 12 P1090L, P1090Q,
1091 13 D1091Y, D1091A,
1092 13
1093 14
1094 14
1095 15 W1095C, W1095X,