SCN5A Variant E1203G Detail

We estimate the penetrance of LQTS for SCN5A E1203G around 11% and the Brugada syndrome penetrance around 14%. SCN5A E1203G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1203G is not present in gnomAD. E1203G 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 E1203G around 11% (0/10) and the Brugada syndrome penetrance around 14% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.872 10 11
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.

E1203G 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
1188 15
1189 14 K1189T,
1190 14 V1190F,
1191 13 W1191X,
1192 13 W1192X,
1193 12 R1193W, R1193Q,
1194 11 L1194M,
1195 11 R1195S, R1195H,
1196 10
1197 9
1198 8
1199 8 Y1199S,
1200 7 H1200R, p.H1200PfsX41, H1200Y,
1201 5 I1201M,
1202 4 V1202M,
1203 0
1204 4
1205 5
1206 7
1207 8
1208 8 E1208K, E1208X,
1209 9 T1209R,
1210 10 F1210S,
1211 11
1212 11 p.I1212del,
1213 12
1214 13 M1214T,
1215 13 I1215V,
1216 14 L1216V,
1217 14
1218 15 S1218I, S1218T,