SCN5A Variant S1333P Detail

We estimate the penetrance of LQTS for SCN5A S1333P around 47% and the Brugada syndrome penetrance around 15%. SCN5A S1333P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1333P is not present in gnomAD. S1333P has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a 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 (2 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A S1333P around 47% (2/10) and the Brugada syndrome penetrance around 15% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.937 12 62
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 12 2 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.

S1333P has 52 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,
939 15 L939F,
1765 13
943 13 S943N,
1340 11 V1340I,
1757 12
1472 8 p.N1472del, N1472S,
1339 11 p.L1339del, L1339F,
1461 13 T1461S,
1333 0
825 14
1471 10
1762 11 p.I1762del, I1762M,
1470 12
1464 10 L1464P, c.4389_4396delCCTCTTTA,
1466 12 c.4396_4397insG,
944 11
1329 7 G1329S,
1766 13 M1766V, M1766L, M1766T,
1334 4 I1334V,
1473 13 F1473C, F1473S,
1341 12
1468 6 V1468F, V1468A,
1462 14
938 15
1474 15
1324 15
823 14 P823T,
1327 10
942 12
1758 14 p.I1758del, I1758V,
1330 5 A1330T, A1330D, A1330P,
827 13
1338 9 L1338V,
1337 6
1342 15
1326 10 A1326S,
1763 15 V1763M, V1763L,
1332 4 P1332L, P1332Q,
1465 9 p.F1465_L1480dup,
1467 10
1476 14 Q1476X, Q1476R,
1331 6 I1331V,
1761 12 L1761F, c.5280delG, L1761H,
1475 13 p.Q1475NfsX6, Q1475L,
1469 9 I1469V,
1336 5
824 11
1325 14 N1325S,
1335 6 M1335R,
828 13 L828V,
1463 15 N1463Y,