SCN5A Variant S1096N Detail

We estimate the penetrance of LQTS for SCN5A S1096N around 4% and the Brugada syndrome penetrance around 10%. SCN5A S1096N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1096N is not present in gnomAD. S1096N 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 S1096N around 4% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.354 8 2
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.

S1096N 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
1081 15
1082 14 V1082A,
1083 14 S1083C,
1084 13 G1084D, G1084S, G1084R,
1085 13
1086 12
1087 11
1088 11 A1088V, A1088T,
1089 10
1090 9 P1090L, P1090Q,
1091 8 D1091A, D1091Y,
1092 8
1093 7
1094 5
1095 4 W1095C, W1095X,
1096 0 S1096C, S1096G,
1097 4 Q1097H, c.3288+2delT,
1098 5 V1098L, V1098M,
1099 7
1100 8 A1100V, A1100T,
1101 8
1102 9 A1102T,
1103 10 S1103F, S1103Y,
1104 11
1105 11 E1105V, E1105X,
1106 12 A1106T,
1107 13 E1107K, p.E1107RfsX24, E1107X,
1108 13
1109 14 S1109G,
1110 14
1111 15