SCN5A Variant D1370E Detail

We estimate the penetrance of LQTS for SCN5A D1370E around 2% and the Brugada syndrome penetrance around 9%. SCN5A D1370E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1370E is not present in gnomAD. D1370E has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 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 D1370E around 2% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.521 6 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 15 0 0 - -
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.

D1370E has 31 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 15
1356 14 c.4066_4068delTT,
1357 14 A1357V,
1358 13 G1358W, G1358R,
1359 13 K1359M, K1359N,
1360 12 F1360C,
1361 11
1362 11 R1362S, c.4083delG,
1363 10 C1363Y,
1364 9 I1364V,
1365 8 N1365S,
1366 8 Q1366R, Q1366H,
1367 7
1368 5
1369 4 G1369R, G1369X,
1370 0 D1370G, D1370A,
1371 4
1372 5
1373 7 L1373X, c.4118delT,
1374 8
1375 8 Y1375H,
1376 9
1377 10 I1377M,
1378 11 V1378M,
1379 11
1380 12 N1380K, p.N1380del,
1381 13
1382 13 S1382I,
1383 14 Q1383X,
1384 14 C1384Y,
1385 15