SCN5A Variant C1167W Detail

We estimate the penetrance of LQTS for SCN5A C1167W around 17% and the Brugada syndrome penetrance around 8%. SCN5A C1167W was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1167W is not present in gnomAD. C1167W 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 C1167W around 17% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.867 1 20
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.

C1167W 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
1152 15 E1152X,
1153 14 Q1153H,
1154 14 I1154N,
1155 13 P1155S,
1156 13 D1156G,
1157 12
1158 11 G1158S,
1159 11
1160 10
1161 9 c.3480delT,
1162 8
1163 8 D1163G, D1163E, D1163Y,
1164 7 P1164T,
1165 5 E1165Q, E1165D, p.E1165RfsX6,
1166 4 D1166N,
1167 0 C1167Y,
1168 4 F1168L,
1169 5 T1169I,
1170 7
1171 8 c.3511+10C>T,
1172 8
1173 9 V1173D,
1174 10 R1174W, R1174G,
1175 11 R1175H,
1176 11
1177 12 P1177L,
1178 13 C1178Y,
1179 13
1180 14 A1180V,
1181 14 V1181M, V1181A, V1181L,
1182 15