SCN5A Variant C1272R Detail

We estimate the penetrance of LQTS for SCN5A C1272R around 8% and the Brugada syndrome penetrance around 34%. SCN5A C1272R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1272R is not present in gnomAD. C1272R 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 C1272R around 8% (0/10) and the Brugada syndrome penetrance around 34% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.937 45 6
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.

C1272R has 47 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
1267 7
1271 6 W1271C,
1281 15 V1281F, c.3840+1G>A,
1315 13
1274 7
1258 9
1272 0
1270 5 A1270S,
1252 15
1309 10 R1309H, R1309C,
1259 13
1265 9
1251 14 V1251M,
1313 13
1279 11 V1279I,
1310 13
1316 13 R1316Q, R1316L,
1207 15
1306 15 R1306H, R1306S,
1305 14
1273 7 W1273C, c.3816delG,
1262 10 G1262S,
1257 7
1268 8 T1268N, T1268S,
1256 13
1275 6 D1275N,
1255 13 L1255M,
1254 9
1215 14 I1215V,
1260 12 A1260D,
1263 10
1212 14 p.I1212del,
1253 10 E1253G,
1264 12 K1264N, K1264R,
1211 13
1312 9
1280 13
1311 12 L1311P,
1308 12 L1308F,
1250 12
1269 4 N1269S,
1276 8
1278 10 I1278N,
1266 4
1261 8
1208 13 E1208K, E1208X,
1277 9