SCN5A Variant V1082L Detail

We estimate the penetrance of LQTS for SCN5A V1082L around 4% and the Brugada syndrome penetrance around 8%. SCN5A V1082L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1082L is not present in gnomAD. V1082L 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 V1082L around 4% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.369 5 3
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.

V1082L 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
1067 15 L1067R,
1068 14 G1068A, G1068D,
1069 14 T1069M,
1070 13
1071 13 E1071K, p.E1071GfsX76,
1072 12 p.E1072del,
1073 11
1074 11 S1074G, S1074R,
1075 10
1076 9
1077 8 c.3228+2delT,
1078 8
1079 7 S1079Y, S1079T, S1079F,
1080 5
1081 4
1082 0 V1082A,
1083 4 S1083C,
1084 5 G1084D, G1084S, G1084R,
1085 7
1086 8
1087 8
1088 9 A1088V, A1088T,
1089 10
1090 11 P1090L, P1090Q,
1091 11 D1091A, D1091Y,
1092 12
1093 13
1094 13
1095 14 W1095C, W1095X,
1096 14 S1096C, S1096G,
1097 15 Q1097H, c.3288+2delT,