SCN5A Variant T1396I Detail

We estimate the penetrance of LQTS for SCN5A T1396I around 3% and the Brugada syndrome penetrance around 32%. SCN5A T1396I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1396I is not present in gnomAD. T1396I 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 T1396I around 3% (0/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.55 46 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.

T1396I has 47 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
1403 13
1724 13
1386 12
1394 7 Y1394X,
1430 13 D1430N,
1426 15
1361 6
1726 12
1382 15 S1382I,
739 13
1395 5
1397 6 c.4189delT, c.4190delA,
1390 15
1380 10 p.N1380del, N1380K,
1723 12 T1723N,
1725 13 P1725L,
1398 7 V1398M,
1358 12 G1358W, G1358R,
1396 0
1362 7 c.4083delG, R1362S,
1433 14 G1433R, G1433W, G1433V,
1438 11 P1438L,
1388 12
1387 14 L1387F,
1378 10 V1378M,
1437 11
1431 13 S1431C,
1359 13 K1359M, K1359N,
1727 13
1391 13 G1391R,
1366 9 Q1366H, Q1366R,
1381 13
1435 14
1360 10 F1360C,
1393 10 L1393X,
1401 12
1399 10
1427 12 A1427S, A1427E,
1365 9 N1365S,
1389 11
1392 13
1364 5 I1364V,
1400 12 V1400I,
1379 11
1363 6 C1363Y,
1436 14
1367 13