SCN5A Variant S1103A Detail

We estimate the penetrance of LQTS for SCN5A S1103A around 4% and the Brugada syndrome penetrance around 6%. SCN5A S1103A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1103A is not present in gnomAD. S1103A 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 S1103A around 4% (0/10) and the Brugada syndrome penetrance around 6% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.305 1 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.

S1103A 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
1088 15 A1088V, A1088T,
1089 14
1090 14 P1090Q, P1090L,
1091 13 D1091A, D1091Y,
1092 13
1093 12
1094 11
1095 11 W1095C, W1095X,
1096 10 S1096G, S1096C,
1097 9 Q1097H, c.3288+2delT,
1098 8 V1098M, V1098L,
1099 8
1100 7 A1100T, A1100V,
1101 5
1102 4 A1102T,
1103 0 S1103F, S1103Y,
1104 4
1105 5 E1105V, E1105X,
1106 7 A1106T,
1107 8 p.E1107RfsX24, E1107K, E1107X,
1108 8
1109 9 S1109G,
1110 10
1111 11
1112 11 Q1112X,
1113 12 A1113T, A1113V,
1114 13 D1114N, D1114E,
1115 13 W1115R, W1115X,
1116 14 R1116W, R1116Q,
1117 14
1118 15 Q1118X,