SCN5A Variant Q1153P Detail

We estimate the penetrance of LQTS for SCN5A Q1153P around 3% and the Brugada syndrome penetrance around 6%. SCN5A Q1153P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Q1153P is not present in gnomAD. Q1153P 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 Q1153P around 3% (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 0.478 1 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.

Q1153P 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
1138 15
1139 14
1140 14 S1140T,
1141 13
1142 13
1143 12
1144 11
1145 11
1146 10
1147 9 T1147I, T1147S, T1147N,
1148 8 A1148S, A1148T,
1149 8
1150 7
1151 5
1152 4 E1152X,
1153 0 Q1153H,
1154 4 I1154N,
1155 5 P1155S,
1156 7 D1156G,
1157 8
1158 8 G1158S,
1159 9
1160 10
1161 11 c.3480delT,
1162 11
1163 12 D1163G, D1163E, D1163Y,
1164 13 P1164T,
1165 13 p.E1165RfsX6, E1165D, E1165Q,
1166 14 D1166N,
1167 14 C1167Y,
1168 15 F1168L,