SCN5A Variant C1341G Detail

We estimate the penetrance of LQTS for SCN5A C1341G around 14% and the Brugada syndrome penetrance around 26%. SCN5A C1341G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1341G is not present in gnomAD. C1341G 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 (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 C1341G around 14% (0/10) and the Brugada syndrome penetrance around 26% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.935 32 14
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.

C1341G has 67 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
1417 13
1406 15 G1406R, G1406E,
1340 4 V1340I,
1457 8
1453 11
1455 13
1757 11
1339 7 p.L1339del, L1339F,
1756 13 I1756V,
1461 5 T1461S,
1350 15 I1350T, I1350L,
1333 12
1344 6 F1344S, F1344L,
819 14
818 14
1411 14
825 11
1458 10 S1458Y,
1410 14
1762 14 I1762M, p.I1762del,
1348 11 F1348L,
1464 8 c.4389_4396delCCTCTTTA, L1464P,
1466 14 c.4396_4397insG,
1349 12
1753 13 T1753A,
822 13 W822C, W822X,
1346 9 L1346I, L1346P,
1341 0
1334 10 I1334V,
1468 13 V1468A, V1468F,
1462 8
938 14
1412 11 L1412F,
1408 14 G1408R,
942 14
1456 11
1459 13 c.4376_4379delTCTT,
827 14
1460 9 F1460L,
816 14 F816Y, F816L,
1454 13
1338 5 L1338V,
1405 15 V1405M, V1405L,
1409 10 Y1409X, Y1409C,
815 14
1343 6
1345 5 W1345C,
1337 6
1342 5
1416 11 A1416G, c.4245+2T>A, c.4245+1G>C, c.4245+1G>A, A1416E,
1332 15 P1332Q, P1332L,
1465 8 p.F1465_L1480dup,
1760 14
1467 14
1331 14 I1331V,
1761 11 c.5280delG, L1761H, L1761F,
1347 10
1336 10
1415 14
824 11
829 13
1335 11 M1335R,
832 14
828 10 L828V,
1414 15 Q1414H,
1463 11 N1463Y,
1413 10