SCN5A Variant V1279L Detail

We estimate the penetrance of LQTS for SCN5A V1279L around 14% and the Brugada syndrome penetrance around 18%. SCN5A V1279L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1279L is not present in gnomAD. V1279L 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 (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A V1279L around 14% (0/10) 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 0.97 17 15
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.

V1279L has 52 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 12
1271 15 W1271C,
1245 14 M1245I,
1218 15 S1218I, S1218T,
1281 6 c.3840+1G>A, V1281F,
1304 13 T1304M,
1243 11 D1243N,
1274 9
1285 10
1258 10
1272 11
1270 14 A1270S,
1252 11
1283 6 L1283M,
1309 10 R1309C, R1309H,
1288 14 A1288G,
1242 14
1251 7 V1251M,
1279 0 V1279I,
1306 9 R1306S, R1306H,
1244 13 K1244E,
1286 10
1305 10
1273 10 W1273C, c.3816delG,
1282 5 S1282A,
1246 11
1302 11 p.L1302Vfs18,
1247 7 T1247I,
1257 11
1307 14
1256 13
1275 7 D1275N,
1255 10 L1255M,
1254 6
1215 13 I1215V,
1301 15
1214 14 M1214T,
1253 9 E1253G,
1284 9
1211 14
1280 4
1308 13 L1308F,
1250 6
1248 10
1269 15 N1269S,
1287 12
1276 6
1278 5 I1278N,
1266 11
1249 10 V1249D,
1277 7
1303 12 R1303W, R1303Q,