SCN5A Variant W1115S Detail

We estimate the penetrance of LQTS for SCN5A W1115S around 10% and the Brugada syndrome penetrance around 7%. SCN5A W1115S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. W1115S is not present in gnomAD. W1115S 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 W1115S around 10% (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 0.392 2 11
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.

W1115S 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
1100 15 A1100V, A1100T,
1101 14
1102 14 A1102T,
1103 13 S1103F, S1103Y,
1104 13
1105 12 E1105V, E1105X,
1106 11 A1106T,
1107 11 E1107K, p.E1107RfsX24, E1107X,
1108 10
1109 9 S1109G,
1110 8
1111 8
1112 7 Q1112X,
1113 5 A1113T, A1113V,
1114 4 D1114E, D1114N,
1115 0 W1115X, W1115R,
1116 4 R1116Q, R1116W,
1117 5
1118 7 Q1118X,
1119 8
1120 8
1121 9 A1121V,
1122 10
1123 11
1124 11
1125 12 A1125V, A1125G, A1125T,
1126 13
1127 13
1128 14 C1128X,
1129 14 G1129S,
1130 15 E1130K,