SCN5A Variant V1322E Detail

We estimate the penetrance of LQTS for SCN5A V1322E around 8% and the Brugada syndrome penetrance around 45%. SCN5A V1322E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1322E is not present in gnomAD. V1322E has been functionally characterized in 0 papers. This residue is located in a 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 (4 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 V1322E around 8% (0/10) and the Brugada syndrome penetrance around 45% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.984 66 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 11 0 4 - -
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.

V1322E has 57 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 10 V1328M,
1659 9
1480 7 c.4437+5G>A, c.4438-1C>T,
1773 12
1653 12
1472 11 N1472S, p.N1472del,
1315 9
1771 14 I1771T,
1652 14 M1652R, M1652T,
1314 11 c.3940_3941delCT,
1320 6 M1320I,
1656 8
1477 7 K1477N,
1471 14
1762 14 I1762M, p.I1762del,
1470 13
1478 12 K1478E,
1767 13 Y1767C,
1313 14
1660 10 I1660S, I1660V,
1654 14
1329 11 G1329S,
1769 11
1316 13 R1316Q, R1316L,
1766 10 M1766T, M1766V, M1766L,
1319 5 G1319V,
1768 15 I1768V,
1774 12 c.5321_5324dupACTT, N1774D,
1479 9
1473 7 F1473C, F1473S,
1663 12
1657 11
1474 11
1662 13
1324 6
1481 11 G1481V, G1481R, G1481E,
1317 10 F1317C,
1327 9
1318 8
1330 12 A1330T, A1330P, A1330D,
1321 7 R1321K,
1323 4 V1323G,
1770 9 I1770V,
1482 13
1322 0 c.3963+2T>C, c.3963+4A>G,
1312 13
1326 7 A1326S,
1763 13 V1763L, V1763M,
1311 15 L1311P,
1476 5 Q1476R, Q1476X,
1661 13 G1661R, G1661E,
1331 15 I1331V,
1655 11
1475 11 Q1475L, p.Q1475NfsX6,
1469 12 I1469V,
1325 6 N1325S,
1658 13