SCN5A Variant D1280N Detail

We estimate the penetrance of LQTS for SCN5A D1280N around 13% and the Brugada syndrome penetrance around 32%. SCN5A D1280N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1280N is not present in gnomAD. D1280N has been functionally characterized in 0 papers. This residue is located in a 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 (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 D1280N around 13% (0/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.587 46 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 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.

D1280N has 42 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
1281 5 c.3840+1G>A, V1281F,
1304 14 T1304M,
1243 13 D1243N,
1274 10
1285 10
1258 11
1299 14 c.3894delC,
1272 13
1270 14 A1270S,
1252 14
1283 5 L1283M,
1309 13 R1309H, R1309C,
1288 13 A1288G,
1251 10 V1251M,
1279 4 V1279I,
1306 11 R1306S, R1306H,
1286 10
1305 10
1273 9 W1273C, c.3816delG,
1282 6 S1282A,
1246 15
1302 10 p.L1302Vfs18,
1247 10 T1247I,
1257 14
1275 9 D1275N,
1255 13 L1255M,
1254 9
1301 14
1253 13 E1253G,
1284 7
1280 0
1308 14 L1308F,
1250 10
1248 13
1287 11
1276 5
1278 7 I1278N,
1266 12
1249 14 V1249D,
1277 6
1303 13 R1303Q, R1303W,