SCN5A Variant P1372S Detail

We estimate the penetrance of LQTS for SCN5A P1372S around 3% and the Brugada syndrome penetrance around 28%. SCN5A P1372S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1372S is not present in gnomAD. P1372S has been functionally characterized in 0 papers. This residue is located in a Mild_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 (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 P1372S around 3% (0/10) and the Brugada syndrome penetrance around 28% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.561 39 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 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.

P1372S 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
1357 15 A1357V,
1358 14 G1358W, G1358R,
1359 14 K1359N, K1359M,
1360 13 F1360C,
1361 13
1362 12 c.4083delG, R1362S,
1363 11 C1363Y,
1364 11 I1364V,
1365 10 N1365S,
1366 9 Q1366R, Q1366H,
1367 8
1368 8
1369 7 G1369R, G1369X,
1370 5 D1370G, D1370A,
1371 4
1372 0
1373 4 c.4118delT, L1373X,
1374 5
1375 7 Y1375H,
1376 8
1377 8 I1377M,
1378 9 V1378M,
1379 10
1380 11 N1380K, p.N1380del,
1381 11
1382 12 S1382I,
1383 13 Q1383X,
1384 13 C1384Y,
1385 14
1386 14
1387 15 L1387F,