SCN5A Variant I1211T Detail

We estimate the penetrance of LQTS for SCN5A I1211T around 24% and the Brugada syndrome penetrance around 18%. SCN5A I1211T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1211T is not present in gnomAD. I1211T 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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A I1211T around 24% (1/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.912 17 30
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 13 1 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.

I1211T has 49 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
1271 14 W1271C,
1245 13 M1245I,
1218 11 S1218I, S1218T,
1217 10
1315 14
1274 14
1216 9 L1216V,
1258 15
1314 14 c.3940_3941delCT,
1213 7
1272 13
1210 5 F1210S,
1252 10
1309 8 R1309H, R1309C,
1242 15
1219 13 S1219N,
1251 13 V1251M,
1313 10
1279 14 V1279I,
1310 11
1316 11 R1316Q, R1316L,
1207 6
1306 12 R1306H, R1306S,
1246 10
1247 13 T1247I,
1257 10
1307 14
1256 11
1275 10 D1275N,
1255 14 L1255M,
1254 11
1215 6 I1215V,
1260 15 A1260D,
1206 9
1214 5 M1214T,
1212 5 p.I1212del,
1253 7 E1253G,
1211 0
1312 11
1311 14 L1311P,
1308 14 L1308F,
1250 9
1209 6 T1209R,
1248 15
1278 13 I1278N,
1266 14
1261 15
1249 8 V1249D,
1208 6 E1208K, E1208X,