SCN5A Variant D1275G Detail

We estimate the penetrance of LQTS for SCN5A D1275G around 8% and the Brugada syndrome penetrance around 20%. SCN5A D1275G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1275G is not present in gnomAD. D1275G has been functionally characterized in 0 papers. This residue is located in a Mild_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 (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 D1275G around 8% (0/10) and the Brugada syndrome penetrance around 20% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.959 21 5
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.

D1275G has 59 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 10
1271 8 W1271C,
1218 14 S1218T, S1218I,
1281 10 c.3840+1G>A, V1281F,
1304 13 T1304M,
1315 14
1274 4
1216 14 L1216V,
1258 10
1272 6
1270 9 A1270S,
1252 12
1283 12 L1283M,
1309 5 R1309C, R1309H,
1265 15
1219 15 S1219N,
1251 11 V1251M,
1313 12
1279 7 V1279I,
1310 10
1316 14 R1316L, R1316Q,
1207 14
1306 9 R1306H, R1306S,
1305 9
1273 8 W1273C, c.3816delG,
1246 13
1282 11 S1282A,
1302 14 p.L1302Vfs18,
1262 14 G1262S,
1247 12 T1247I,
1257 8
1268 13 T1268S, T1268N,
1307 11
1256 12
1275 0 D1275N,
1255 12 L1255M,
1254 7
1215 10 I1215V,
1260 15 A1260D,
1263 14
1214 13 M1214T,
1212 12 p.I1212del,
1253 8 E1253G,
1284 15
1211 10
1312 10
1280 9
1311 11 L1311P,
1308 9 L1308F,
1250 7
1269 9 N1269S,
1276 7
1278 5 I1278N,
1266 8
1261 12
1249 11 V1249D,
1208 13 E1208X, E1208K,
1277 7
1303 14 R1303W, R1303Q,