SCN5A Variant G1352A Detail

We estimate the penetrance of LQTS for SCN5A G1352A around 4% and the Brugada syndrome penetrance around 34%. SCN5A G1352A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1352A is not present in gnomAD. G1352A 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 (3 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 G1352A around 4% (0/10) and the Brugada syndrome penetrance around 34% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.962 45 0
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 0 3 - -
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.

G1352A has 69 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
1355 5
1403 9
1357 6 A1357V,
811 13 R811G, R811H, c.2435_2436+3delTGGTAinsCGCCT,
741 14 p.M741_T742delinsI ,
1430 15 D1430N,
808 11 R808C, R808P, R808H,
1352 0
1406 11 G1406E, G1406R,
1445 14 Y1445H,
1453 11
1447 15
1351 5 M1351V, M1351R,
739 12
1449 7 Y1449S, Y1449C,
1452 13
812 10 L812Q,
1350 6 I1350T, I1350L,
1429 13
1344 15 F1344S, F1344L,
731 14 T731I,
806 13 V806M,
1450 10
1398 15 V1398M,
1411 10
1451 14 V1451L, V1451D,
1353 4 V1353M,
1407 10
737 9
1410 13
1358 10 G1358R, G1358W,
1433 13 G1433R, G1433V, G1433W,
1348 8 F1348L,
1404 10
1349 6
1431 12 S1431C,
1346 11 L1346I, L1346P,
805 12 S805L,
1359 9 K1359N, K1359M,
1356 5 c.4066_4068delTT,
1434 11 c.4300-2A>T, c.4300-1G>A, c.4299+28C>T, c.4299+1delG, Y1434X, c.4299+2T>A, c.4299_4300insG, c.4299G>A, c.4299+1G>T, c.4299delG,
1412 9 L1412F,
810 14
1408 8 G1408R,
735 11 A735T, A735E, A735V,
1360 11 F1360C,
734 11 c.2201dupT, M734V,
1401 10
1425 13
1454 15
1354 5
1427 13 A1427S, A1427E,
1446 11
1424 12 I1424V,
738 12
1448 13 I1448L, I1448T,
1405 9 V1405M, V1405L,
809 10
1409 12 Y1409C, Y1409X,
815 15
1400 13 V1400I,
1345 13 W1345C,
1443 14 N1443S,
736 12 L736P,
1347 10
1415 13
1428 10 A1428S, A1428V,
1402 6
1413 14