SCN5A Variant S1315T Detail

We estimate the penetrance of LQTS for SCN5A S1315T around 5% and the Brugada syndrome penetrance around 25%. SCN5A S1315T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1315T is not present in gnomAD. S1315T 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 S1315T around 5% (0/10) and the Brugada syndrome penetrance around 25% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.899 30 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.

S1315T has 51 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
1328 11 V1328M,
1659 10
1271 8 W1271C,
1480 15 c.4437+5G>A, c.4438-1C>T,
1315 0
1274 13
1216 14 L1216V,
1314 5 c.3940_3941delCT,
1320 5 M1320I,
1666 11
1272 13
1656 13
1270 12 A1270S,
1309 12 R1309C, R1309H,
1313 5
1660 12 I1660S, I1660V,
1329 14 G1329S,
1310 9
1316 6 R1316Q, R1316L,
1766 14 M1766V, M1766T, M1766L,
1319 8 G1319V,
1665 14
1663 10
1662 11
1324 6
1317 7 F1317C,
1327 10
1307 14
1318 10
1275 14 D1275N,
1321 6 R1321K,
1323 8 V1323G,
1215 13 I1215V,
1212 11 p.I1212del,
1322 9 c.3963+4A>G, c.3963+2T>C,
1211 14
1312 4
1326 11 A1326S,
1763 14 V1763M, V1763L,
1311 7 L1311P,
1308 12 L1308F,
1476 14 Q1476X, Q1476R,
1670 15
1661 13 G1661R, G1661E,
1209 14 T1209R,
1655 15
1269 13 N1269S,
1325 9 N1325S,
1208 13 E1208X, E1208K,
1667 14 V1667I,
1664 14