SCN5A Variant S1205N Detail

We estimate the penetrance of LQTS for SCN5A S1205N around 17% and the Brugada syndrome penetrance around 10%. SCN5A S1205N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1205N is not present in gnomAD. S1205N 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 (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 S1205N around 17% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.265 10 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 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.

S1205N 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
1190 15 V1190F,
1191 14 W1191X,
1192 14 W1192X,
1193 13 R1193Q, R1193W,
1194 13 L1194M,
1195 12 R1195S, R1195H,
1196 11
1197 11
1198 10
1199 9 Y1199S,
1200 8 p.H1200PfsX41, H1200Y, H1200R,
1201 8 I1201M,
1202 7 V1202M,
1203 5
1204 4
1205 0
1206 4
1207 5
1208 7 E1208K, E1208X,
1209 8 T1209R,
1210 8 F1210S,
1211 9
1212 10 p.I1212del,
1213 11
1214 11 M1214T,
1215 12 I1215V,
1216 13 L1216V,
1217 13
1218 14 S1218I, S1218T,
1219 14 S1219N,
1220 15 G1220E,