SCN5A Variant D1160Y Detail

We estimate the penetrance of LQTS for SCN5A D1160Y around 12% and the Brugada syndrome penetrance around 18%. SCN5A D1160Y was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1160Y is not present in gnomAD. D1160Y has been functionally characterized in 0 papers. This residue is located in a Mild_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 (1 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 D1160Y around 12% (0/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.651 19 13
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 14 0 1 - -
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.

D1160Y 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
1145 15
1146 14
1147 14 T1147N, T1147I, T1147S,
1148 13 A1148T, A1148S,
1149 13
1150 12
1151 11
1152 11 E1152X,
1153 10 Q1153H,
1154 9 I1154N,
1155 8 P1155S,
1156 8 D1156G,
1157 7
1158 5 G1158S,
1159 4
1160 0
1161 4 c.3480delT,
1162 5
1163 7 D1163E, D1163Y, D1163G,
1164 8 P1164T,
1165 8 E1165Q, p.E1165RfsX6, E1165D,
1166 9 D1166N,
1167 10 C1167Y,
1168 11 F1168L,
1169 11 T1169I,
1170 12
1171 13 c.3511+10C>T,
1172 13
1173 14 V1173D,
1174 14 R1174G, R1174W,
1175 15 R1175H,