SCN5A Variant P1081T Detail

We estimate the penetrance of LQTS for SCN5A P1081T around 8% and the Brugada syndrome penetrance around 14%. SCN5A P1081T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1081T is not present in gnomAD. P1081T 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 P1081T around 8% (0/10) and the Brugada syndrome penetrance around 14% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.407 15 8
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.

P1081T 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
1066 15 S1066G,
1067 14 L1067R,
1068 14 G1068D, G1068A,
1069 13 T1069M,
1070 13
1071 12 E1071K, p.E1071GfsX76,
1072 11 p.E1072del,
1073 11
1074 10 S1074G, S1074R,
1075 9
1076 8
1077 8 c.3228+2delT,
1078 7
1079 5 S1079F, S1079T, S1079Y,
1080 4
1081 0
1082 4 V1082A,
1083 5 S1083C,
1084 7 G1084R, G1084D, G1084S,
1085 8
1086 8
1087 9
1088 10 A1088T, A1088V,
1089 11
1090 11 P1090L, P1090Q,
1091 12 D1091A, D1091Y,
1092 13
1093 13
1094 14
1095 14 W1095C, W1095X,
1096 15 S1096C, S1096G,