SCN5A Variant A1307V Detail

We estimate the penetrance of LQTS for SCN5A A1307V around 6% and the Brugada syndrome penetrance around 16%. SCN5A A1307V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1307V is not present in gnomAD. A1307V 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 A1307V around 6% (0/10) and the Brugada syndrome penetrance around 16% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.764 15 4
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.

A1307V has 65 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
1271 12 W1271C,
1218 9 S1218I, S1218T,
1281 12 V1281F, c.3840+1G>A,
1304 6 T1304M,
1217 12
1243 13 D1243N,
1315 14
1274 10
1216 9 L1216V,
1314 12 c.3940_3941delCT,
1220 10 G1220E,
1673 7
1675 12
1213 14
1666 8
1309 7 R1309C, R1309H,
1226 14
1669 7
1671 10
1221 11 A1221V,
1242 14
1668 12 M1668T,
1676 13 M1676I, M1676T,
1219 7 S1219N,
1672 10 S1672Y,
1313 11
1279 14 V1279I,
1239 14 L1239P,
1310 6
1306 7 R1306S, R1306H,
1665 12
1305 6
1246 12
1282 13 S1282A,
1663 13
1302 11 p.L1302Vfs18,
1662 14
1247 15 T1247I,
1701 15 M1701I,
1307 0
1678 15 N1678S,
1223 10 c.3667delG,
1697 14
1275 11 D1275N,
1222 8 p.L1222LfsX7, L1222R,
1674 10 F1674V,
1215 8 I1215V,
1301 11
1214 13 M1214T,
1212 12 p.I1212del,
1211 14
1700 15
1312 13
1751 15
1311 8 L1311P,
1677 13
1308 4 L1308F,
1250 12
1224 14
1670 6
1225 13 G1225K, E1225K,
1278 9 I1278N,
1277 12
1667 10 V1667I,
1303 10 R1303W, R1303Q,