SCN5A Variant G1319R Detail

We estimate the penetrance of LQTS for SCN5A G1319R around 7% and the Brugada syndrome penetrance around 24%. SCN5A G1319R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1319R is not present in gnomAD. G1319R 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 G1319R around 7% (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 0.962 29 5
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.

G1319R has 46 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 14 V1328M,
1659 5
1480 10 c.4438-1C>T, c.4437+5G>A,
1773 15
1653 11
1315 8
1771 15 I1771T,
1652 13 M1652R, M1652T,
1314 9 c.3940_3941delCT,
1320 4 M1320I,
1666 15
1656 6
1477 11 K1477N,
1767 13 Y1767C,
1313 11
1660 9 I1660V, I1660S,
1654 12
1769 14
1316 11 R1316L, R1316Q,
1766 12 M1766V, M1766L, M1766T,
1319 0 G1319V,
1774 14 c.5321_5324dupACTT, N1774D,
1479 14
1473 11 F1473C, F1473S,
1663 11
1657 10
1662 10
1324 8
1481 14 G1481V, G1481R, G1481E,
1317 5 F1317C,
1327 12
1318 4
1321 6 R1321K,
1323 6 V1323G,
1770 11 I1770V,
1322 5 c.3963+4A>G, c.3963+2T>C,
1312 12
1326 11 A1326S,
1763 14 V1763M, V1763L,
1311 14 L1311P,
1476 10 Q1476X, Q1476R,
1661 11 G1661R, G1661E,
1655 8
1325 10 N1325S,
1664 14
1658 10