SCN5A Variant V1337L Detail

We estimate the penetrance of LQTS for SCN5A V1337L around 27% and the Brugada syndrome penetrance around 17%. SCN5A V1337L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1337L is not present in gnomAD. V1337L has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A V1337L around 27% (1/10) and the Brugada syndrome penetrance around 17% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.943 16 34
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 1 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.

V1337L has 63 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
939 15 L939F,
1765 13
943 15 S943N,
1340 5 V1340I,
1457 11
1757 11
1472 13 p.N1472del, N1472S,
1339 7 p.L1339del, L1339F,
1756 14 I1756V,
1461 7 T1461S,
1333 6
1344 10 F1344S, F1344L,
819 15
826 14 N826D,
825 10
1458 13 S1458Y,
1471 13
935 15 L935P,
1762 11 I1762M, p.I1762del,
1470 14
1464 7 c.4389_4396delCCTCTTTA, L1464P,
1466 11 c.4396_4397insG,
822 13 W822C, W822X,
944 13
1346 14 L1346I, L1346P,
1329 13 G1329S,
1341 6
1334 5 I1334V,
1468 8 V1468A, V1468F,
831 13
1462 10
938 12
823 13 P823T,
1327 15
942 11
1456 14
1758 14 I1758V, p.I1758del,
1330 10 A1330P, A1330T, A1330D,
827 12
1460 10 F1460L,
1338 4 L1338V,
1409 14 Y1409C, Y1409X,
1343 10
1345 10 W1345C,
941 15 S941N, S941F,
1337 0
1342 9
1416 15 A1416G, c.4245+1G>C, c.4245+2T>A, A1416E, c.4245+1G>A,
1332 10 P1332L, P1332Q,
1465 6 p.F1465_L1480dup,
1760 14
1467 10
1331 10 I1331V,
1761 10 L1761H, c.5280delG, L1761F,
1469 11 I1469V,
1336 5
824 9
829 13
1335 7 M1335R,
832 14
828 9 L828V,
1463 11 N1463Y,
1413 15