SCN5A Variant K1162N Detail

We estimate the penetrance of LQTS for SCN5A K1162N around 18% and the Brugada syndrome penetrance around 11%. SCN5A K1162N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. K1162N is not present in gnomAD. K1162N 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 K1162N around 18% (0/10) and the Brugada syndrome penetrance around 11% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.306 11 24
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.

K1162N 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
1147 15 T1147N, T1147I, T1147S,
1148 14 A1148T, A1148S,
1149 14
1150 13
1151 13
1152 12 E1152X,
1153 11 Q1153H,
1154 11 I1154N,
1155 10 P1155S,
1156 9 D1156G,
1157 8
1158 8 G1158S,
1159 7
1160 5
1161 4 c.3480delT,
1162 0
1163 4 D1163E, D1163Y, D1163G,
1164 5 P1164T,
1165 7 E1165Q, p.E1165RfsX6, E1165D,
1166 8 D1166N,
1167 8 C1167Y,
1168 9 F1168L,
1169 10 T1169I,
1170 11
1171 11 c.3511+10C>T,
1172 12
1173 13 V1173D,
1174 13 R1174G, R1174W,
1175 14 R1175H,
1176 14
1177 15 P1177L,