SCN5A Variant A1100P Detail

We estimate the penetrance of LQTS for SCN5A A1100P around 3% and the Brugada syndrome penetrance around 7%. SCN5A A1100P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1100P is not present in gnomAD. A1100P 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 A1100P around 3% (0/10) and the Brugada syndrome penetrance around 7% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.333 3 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.

A1100P 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
1085 15
1086 14
1087 14
1088 13 A1088V, A1088T,
1089 13
1090 12 P1090L, P1090Q,
1091 11 D1091Y, D1091A,
1092 11
1093 10
1094 9
1095 8 W1095C, W1095X,
1096 8 S1096C, S1096G,
1097 7 Q1097H, c.3288+2delT,
1098 5 V1098L, V1098M,
1099 4
1100 0 A1100V, A1100T,
1101 4
1102 5 A1102T,
1103 7 S1103F, S1103Y,
1104 8
1105 8 E1105V, E1105X,
1106 9 A1106T,
1107 10 E1107X, p.E1107RfsX24, E1107K,
1108 11
1109 11 S1109G,
1110 12
1111 13
1112 13 Q1112X,
1113 14 A1113T, A1113V,
1114 14 D1114E, D1114N,
1115 15 W1115X, W1115R,