SCN5A Variant S1111T Detail

We estimate the penetrance of LQTS for SCN5A S1111T around 11% and the Brugada syndrome penetrance around 7%. SCN5A S1111T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1111T is not present in gnomAD. S1111T has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_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 S1111T around 11% (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 0.22 4 14
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.

S1111T 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
1096 15 S1096C, S1096G,
1097 14 Q1097H, c.3288+2delT,
1098 14 V1098M, V1098L,
1099 13
1100 13 A1100V, A1100T,
1101 12
1102 11 A1102T,
1103 11 S1103Y, S1103F,
1104 10
1105 9 E1105V, E1105X,
1106 8 A1106T,
1107 8 E1107K, E1107X, p.E1107RfsX24,
1108 7
1109 5 S1109G,
1110 4
1111 0
1112 4 Q1112X,
1113 5 A1113V, A1113T,
1114 7 D1114N, D1114E,
1115 8 W1115R, W1115X,
1116 8 R1116Q, R1116W,
1117 9
1118 10 Q1118X,
1119 11
1120 11
1121 12 A1121V,
1122 13
1123 13
1124 14
1125 14 A1125T, A1125V, A1125G,
1126 15