SCN5A Variant N1379S Detail

We estimate the penetrance of LQTS for SCN5A N1379S around 3% and the Brugada syndrome penetrance around 43%. SCN5A N1379S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. N1379S is not present in gnomAD. N1379S 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 (4 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 N1379S around 3% (0/10) and the Brugada syndrome penetrance around 43% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.815 63 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 11 0 4 - -
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.

N1379S has 30 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
1391 15 G1391R,
1366 9 Q1366H, Q1366R,
1381 7
1396 11
1362 10 R1362S, c.4083delG,
1438 13 P1438L,
1379 0
1386 10
1394 10 Y1394X,
1430 15 D1430N,
1426 14
1393 12 L1393X,
1387 14 L1387F,
1378 5 V1378M,
1437 12
1361 13
1384 15 C1384Y,
1395 13
1440 15 W1440X,
1382 9 S1382I,
1363 8 C1363Y,
1365 4 N1365S,
1385 12
873 15 S873A,
1380 5 p.N1380del, N1380K,
1383 13 Q1383X,
1439 14 Q1439H, Q1439R,
1364 6 I1364V,
1367 7
1398 15 V1398M,