SCN5A Variant D1156V Detail

We estimate the penetrance of LQTS for SCN5A D1156V around 4% and the Brugada syndrome penetrance around 7%. SCN5A D1156V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1156V is not present in gnomAD. D1156V 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 D1156V around 4% (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 0.613 1 1
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.

D1156V 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
1141 15
1142 14
1143 14
1144 13
1145 13
1146 12
1147 11 T1147I, T1147N, T1147S,
1148 11 A1148S, A1148T,
1149 10
1150 9
1151 8
1152 8 E1152X,
1153 7 Q1153H,
1154 5 I1154N,
1155 4 P1155S,
1156 0 D1156G,
1157 4
1158 5 G1158S,
1159 7
1160 8
1161 8 c.3480delT,
1162 9
1163 10 D1163G, D1163E, D1163Y,
1164 11 P1164T,
1165 11 E1165Q, E1165D, p.E1165RfsX6,
1166 12 D1166N,
1167 13 C1167Y,
1168 13 F1168L,
1169 14 T1169I,
1170 14
1171 15 c.3511+10C>T,