SCN5A Variant G1361V Detail

We estimate the penetrance of LQTS for SCN5A G1361V around 3% and the Brugada syndrome penetrance around 35%. SCN5A G1361V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1361V is not present in gnomAD. G1361V 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 G1361V around 3% (0/10) and the Brugada syndrome penetrance around 35% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.727 50 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.

G1361V has 58 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 14
1403 10
1357 11 A1357V,
1386 10
1394 12 Y1394X,
1430 9 D1430N,
1426 12
1361 0
1440 15 W1440X,
1382 13 S1382I,
739 11
1395 5
1397 6 c.4190delA, c.4189delT,
1390 14
1380 10 N1380K, p.N1380del,
1429 12
1442 14 Y1442N, Y1442C,
1723 14 T1723N,
1398 7 V1398M,
1358 7 G1358W, G1358R,
1396 6
1362 5 R1362S, c.4083delG,
1433 8 G1433V, G1433R, G1433W,
1438 6 P1438L,
1388 9
1423 14 D1423H,
1387 11 L1387F,
1378 13 V1378M,
1437 7
1431 8 S1431C,
1383 14 Q1383X,
1359 7 K1359N, K1359M,
1434 10 c.4299+28C>T, c.4299delG, c.4300-1G>A, c.4299G>A, c.4299+1delG, c.4299+1G>T, c.4299_4300insG, c.4299+2T>A, Y1434X, c.4300-2A>T,
1356 11 c.4066_4068delTT,
1391 14 G1391R,
1366 15 Q1366R, Q1366H,
1381 13
1435 9
1360 6 F1360C,
1393 13 L1393X,
1401 10
1399 12
1427 9 A1427E, A1427S,
1424 13 I1424V,
1365 13 N1365S,
738 15
1432 11 R1432G, R1432S,
1389 10
1439 11 Q1439R, Q1439H,
740 14 p.N740del,
1364 8 I1364V,
1400 12 V1400I,
1443 14 N1443S,
1379 13
1428 10 A1428S, A1428V,
1363 7 C1363Y,
1436 9
1402 12