SCN5A Variant P1310L Detail

We estimate the penetrance of LQTS for SCN5A P1310L around 5% and the Brugada syndrome penetrance around 24%. SCN5A P1310L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1310L is not present in gnomAD. P1310L 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 (2 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 P1310L around 5% (0/10) and the Brugada syndrome penetrance around 24% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.862 29 2
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 13 0 2 - -
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.

P1310L has 60 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
1659 14
1271 10 W1271C,
1218 10 S1218I, S1218T,
1304 12 T1304M,
1217 12
1315 9
1274 10
1216 7 L1216V,
1314 7 c.3940_3941delCT,
1220 11 G1220E,
1320 12 M1320I,
1673 12
1213 11
1666 7
1272 13
1210 14 F1210S,
1270 14 A1270S,
1309 6 R1309H, R1309C,
1669 9
1671 13
1221 13 A1221V,
1668 14 M1668T,
1219 8 S1219N,
1672 14 S1672Y,
1313 6
1310 0
1316 11 R1316Q, R1316L,
1306 10 R1306S, R1306H,
1665 11
1305 11
1246 14
1663 11
1662 11
1324 13
1317 12 F1317C,
1307 6
1223 13 c.3667delG,
1275 10 D1275N,
1222 12 L1222R, p.L1222LfsX7,
1321 15 R1321K,
1674 15 F1674V,
1323 15 V1323G,
1215 6 I1215V,
1214 11 M1214T,
1212 8 p.I1212del,
1253 14 E1253G,
1211 11
1312 8
1311 4 L1311P,
1308 6 L1308F,
1250 13
1670 9
1661 14 G1661R, G1661E,
1209 13 T1209R,
1278 11 I1278N,
1208 14 E1208X, E1208K,
1277 14
1667 11 V1667I,
1664 14
1303 14 R1303Q, R1303W,