SCN5A Variant N1380D Detail

We estimate the penetrance of LQTS for SCN5A N1380D around 3% and the Brugada syndrome penetrance around 56%. SCN5A N1380D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. N1380D is not present in gnomAD. N1380D 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 (5 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 N1380D around 3% (0/10) and the Brugada syndrome penetrance around 56% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.686 87 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 10 0 5 - -
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.

N1380D has 45 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
1386 7
1394 11 Y1394X,
1430 10 D1430N,
1426 11
1361 10
1440 11 W1440X,
1382 6 S1382I,
1395 10
1397 14 c.4189delT, c.4190delA,
1390 14
1380 0 N1380K, p.N1380del,
1429 15
1442 14 Y1442N, Y1442C,
1398 13 V1398M,
1396 10
1362 6 c.4083delG, R1362S,
1433 15 G1433R, G1433V, G1433W,
1438 8 P1438L,
1388 13
1423 14 D1423H,
1387 11 L1387F,
1378 8 V1378M,
1437 7
1384 12 C1384Y,
1431 13 S1431C,
1383 9 Q1383X,
1391 14 G1391R,
1366 12 Q1366R, Q1366H,
1381 5
1360 13 F1360C,
1393 13 L1393X,
1427 12 A1427E, A1427S,
1385 11
1365 7 N1365S,
1432 14 R1432G, R1432S,
1389 13
1439 9 Q1439R, Q1439H,
1364 6 I1364V,
878 14 R878C, R878L, R878H,
1441 14 E1441Q,
1379 5
1428 15 A1428V, A1428S,
1363 6 C1363Y,
1436 14
1367 11