SCN5A Variant S1219T Detail

We estimate the penetrance of LQTS for SCN5A S1219T around 9% and the Brugada syndrome penetrance around 39%. SCN5A S1219T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1219T is not present in gnomAD. S1219T has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 S1219T around 9% (0/10) and the Brugada syndrome penetrance around 39% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.807 57 8
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 12 0 3 - -
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.

S1219T has 63 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
1245 13 M1245I,
1218 4 S1218I, S1218T,
1304 10 T1304M,
1217 6
1243 12 D1243N,
1216 5 L1216V,
1698 15 A1698T,
1314 14 c.3940_3941delCT,
1220 4 G1220E,
1673 9
1675 15
1213 10
1210 14 F1210S,
1241 15
1309 10 R1309H, R1309C,
1226 13
1669 7
1671 14
1221 5 A1221V,
1242 11
1668 14 M1668T,
1676 13 M1676T, M1676I,
1219 0 S1219N,
1672 11 S1672Y,
1313 13
1239 10 L1239P,
1310 8
1306 8 R1306S, R1306H,
1665 11
1305 12
1246 10
1235 13
1282 15 S1282A,
1662 15
1247 15 T1247I,
1701 14 M1701I,
1307 7
1223 7 c.3667delG,
1697 11
1275 15 D1275N,
1222 5 p.L1222LfsX7, L1222R,
1674 14 F1674V,
1215 7 I1215V,
1301 13
1214 10 M1214T,
1212 11 p.I1212del,
1696 15
1211 13
1700 15
1311 12 L1311P,
1677 15
1308 10 L1308F,
1250 13
1224 9
1670 10
1240 14 E1240Q,
1225 10 E1225K, G1225K,
1278 13 I1278N,
1238 14
1249 14 V1249D,
1667 14 V1667I,
1303 10 R1303Q, R1303W,
1666 10