SCN5A Variant L1410V Detail

We estimate the penetrance of LQTS for SCN5A L1410V around 7% and the Brugada syndrome penetrance around 51%. SCN5A L1410V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. L1410V is not present in gnomAD. L1410V 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 L1410V around 7% (0/10) and the Brugada syndrome penetrance around 51% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.857 76 5
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.

L1410V has 70 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 12
1746 11 A1746V, A1746T,
1357 15 A1357V,
1417 11
1352 13
1406 6 G1406R, G1406E,
1457 15
1453 13
1757 14
1715 13
1745 12
1397 15 c.4190delA, c.4189delT,
1756 11 I1756V,
1350 14 I1350L, I1350T,
1723 12 T1723N,
1450 14
1754 13
1398 13 V1398M,
1411 5
1353 14 V1353M,
1407 5
1410 0
1747 14 V1747M,
1716 14 p.L1716SfsX71,
1714 10 D1714G,
1348 14 F1348L,
1404 9
1423 15 D1423H,
1744 14 S1744I,
1721 10
1349 10
1753 9 T1753A,
1346 12 L1346P, L1346I,
1418 14
1712 14 G1712C, G1712S,
1341 14
1356 14 c.4066_4068delTT,
1412 7 L1412F,
1719 14
1408 5 G1408R,
735 15 A735E, A735T, A735V,
1420 12 G1420P, G1420R, G1420D, G1420V,
1360 14 F1360C,
1401 9
1399 11
1713 11
1338 15 L1338V,
1424 11 I1424V,
1748 10 p.G1748del, G1748D,
1405 9 V1405M, V1405L,
1409 5 Y1409C, Y1409X,
1400 8 V1400I,
1421 14
1718 11 S1718R,
1345 10 W1345C,
1717 9 L1717P,
1342 12
1751 14
1416 11 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
1750 11 L1750F,
1752 11
1722 13 N1722D,
1749 7 I1749N,
1710 15 S1710L,
1720 13 c.5157delC,
1415 10
1419 13 K1419E,
1414 7 Q1414H,
1402 9
1413 5