SCN5A Variant P1164R Detail

We estimate the penetrance of LQTS for SCN5A P1164R around 19% and the Brugada syndrome penetrance around 9%. SCN5A P1164R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1164R is not present in gnomAD. P1164R has been functionally characterized in 0 papers. This residue is located in a Non_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 (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 P1164R around 19% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.855 2 22
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.

P1164R 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
1149 15
1150 14
1151 14
1152 13 E1152X,
1153 13 Q1153H,
1154 12 I1154N,
1155 11 P1155S,
1156 11 D1156G,
1157 10
1158 9 G1158S,
1159 8
1160 8
1161 7 c.3480delT,
1162 5
1163 4 D1163E, D1163Y, D1163G,
1164 0 P1164T,
1165 4 E1165Q, p.E1165RfsX6, E1165D,
1166 5 D1166N,
1167 7 C1167Y,
1168 8 F1168L,
1169 8 T1169I,
1170 9
1171 10 c.3511+10C>T,
1172 11
1173 11 V1173D,
1174 12 R1174G, R1174W,
1175 13 R1175H,
1176 13
1177 14 P1177L,
1178 14 C1178Y,
1179 15