SCN5A Variant S1140C Detail

We estimate the penetrance of LQTS for SCN5A S1140C around 4% and the Brugada syndrome penetrance around 54%. SCN5A S1140C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1140C is not present in gnomAD. S1140C has been functionally characterized in 0 papers. This residue is located in a 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 (5 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 S1140C around 4% (0/10) and the Brugada syndrome penetrance around 54% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.881 83 0
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 10 0 5 - -
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.

S1140C 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
1125 15 A1125T, A1125V, A1125G,
1126 14
1127 14
1128 13 C1128X,
1129 13 G1129S,
1130 12 E1130K,
1131 11 c.3391-1G>A, c.3390-1G>A, T1131S, T1131I,
1132 11 P1132S,
1133 10
1134 9 D1134E, D1134N,
1135 8 S1135I,
1136 8 C1136Y,
1137 7
1138 5
1139 4
1140 0 S1140T,
1141 4
1142 5
1143 7
1144 8
1145 8
1146 9
1147 10 T1147N, T1147I, T1147S,
1148 11 A1148S, A1148T,
1149 11
1150 12
1151 13
1152 13 E1152X,
1153 14 Q1153H,
1154 14 I1154N,
1155 15 P1155S,