SCN5A Variant I1201N Detail

We estimate the penetrance of LQTS for SCN5A I1201N around 12% and the Brugada syndrome penetrance around 15%. SCN5A I1201N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1201N is not present in gnomAD. I1201N 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 I1201N around 12% (0/10) and the Brugada syndrome penetrance around 15% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.929 12 12
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.

I1201N 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
1186 15 A1186T,
1187 14 P1187Q,
1188 14
1189 13 K1189T,
1190 13 V1190F,
1191 12 W1191X,
1192 11 W1192X,
1193 11 R1193Q, R1193W,
1194 10 L1194M,
1195 9 R1195S, R1195H,
1196 8
1197 8
1198 7
1199 5 Y1199S,
1200 4 p.H1200PfsX41, H1200Y, H1200R,
1201 0 I1201M,
1202 4 V1202M,
1203 5
1204 7
1205 8
1206 8
1207 9
1208 10 E1208K, E1208X,
1209 11 T1209R,
1210 11 F1210S,
1211 12
1212 13 p.I1212del,
1213 13
1214 14 M1214T,
1215 14 I1215V,
1216 15 L1216V,