SCN5A Variant G1358V Detail

We estimate the penetrance of LQTS for SCN5A G1358V around 4% and the Brugada syndrome penetrance around 36%. SCN5A G1358V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1358V is not present in gnomAD. G1358V 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 G1358V around 4% (0/10) and the Brugada syndrome penetrance around 36% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.949 49 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.

G1358V 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
1355 9
1403 6
1357 4 A1357V,
742 15 T742A,
741 10 p.M741_T742delinsI ,
1430 12 D1430N,
808 15 R808P, R808C, R808H,
1352 10
1406 14 G1406R, G1406E,
1361 7
746 15 E746K,
1351 14 M1351V, M1351R,
739 5
1395 10
1397 9 c.4189delT, c.4190delA,
1350 14 I1350T, I1350L,
1429 14
1398 10 V1398M,
1411 14
1353 9 V1353M,
1407 12
737 11
1358 0 G1358R, G1358W,
1396 12
1362 11 c.4083delG, R1362S,
1433 7 G1433W, G1433R, G1433V,
1438 11 P1438L,
1388 13
1404 10
1437 12
1349 14
1431 8 S1431C,
1359 4 K1359N, K1359M,
1356 8 c.4066_4068delTT,
1434 5 c.4299_4300insG, c.4300-1G>A, c.4299+1G>T, c.4299+2T>A, c.4299+1delG, c.4299+28C>T, c.4299delG, c.4300-2A>T, c.4299G>A, Y1434X,
1408 12 G1408R,
1435 8
1360 7 F1360C,
1401 9
1399 15
1354 10
1427 11 A1427S, A1427E,
1446 15
1424 14 I1424V,
738 9
1432 12 R1432S, R1432G,
1389 14
1439 15 Q1439H, Q1439R,
1405 13 V1405M, V1405L,
740 9 p.N740del,
1400 12 V1400I,
1443 14 N1443S,
736 14 L736P,
1428 11 A1428S, A1428V,
1363 14 C1363Y,
1436 10
1402 9