SCN5A Variant D1182Y Detail

We estimate the penetrance of LQTS for SCN5A D1182Y around 4% and the Brugada syndrome penetrance around 10%. SCN5A D1182Y was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1182Y is not present in gnomAD. D1182Y 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 D1182Y around 4% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.726 5 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.

D1182Y 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
1167 15 C1167Y,
1168 14 F1168L,
1169 14 T1169I,
1170 13
1171 13 c.3511+10C>T,
1172 12
1173 11 V1173D,
1174 11 R1174W, R1174G,
1175 10 R1175H,
1176 9
1177 8 P1177L,
1178 8 C1178Y,
1179 7
1180 5 A1180V,
1181 4 V1181A, V1181L, V1181M,
1182 0
1183 4 T1183I,
1184 5
1185 7 c.3553_3554delCA,
1186 8 A1186T,
1187 8 P1187Q,
1188 9
1189 10 K1189T,
1190 11 V1190F,
1191 11 W1191X,
1192 12 W1192X,
1193 13 R1193W, R1193Q,
1194 13 L1194M,
1195 14 R1195S, R1195H,
1196 14
1197 15