SCN5A Variant K1419Q Detail

We estimate the penetrance of LQTS for SCN5A K1419Q around 8% and the Brugada syndrome penetrance around 57%. SCN5A K1419Q was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. K1419Q is not present in gnomAD. K1419Q 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 K1419Q around 8% (0/10) and the Brugada syndrome penetrance around 57% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.955 87 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.

K1419Q has 69 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
901 12 E901K, S901L,
896 10 C896S,
895 14 L895F,
1417 6
894 14 I894M,
1457 15
1453 14
1715 9
1687 13
372 10
1756 11 I1756V,
371 11 Q371E,
1711 6 c.5131delG,
1450 14
1707 11
1411 11
1458 12 S1458Y,
1410 13
1706 11 Q1706H,
1716 11 p.L1716SfsX71,
1714 7 D1714G,
376 12 R376H, R376C,
897 9 G897R, G897E,
1423 10 D1423H,
1753 14 T1753A,
1422 9 M1422R,
1418 6
892 14 F892I,
373 8
1712 6 G1712C, G1712S,
379 14
1703 15
898 8
893 10 R893C, R893H,
1462 13
1412 12 L1412F,
1759 15 S1759C,
1709 10 T1709M, p.T1709del, T1709R,
1420 5 G1420P, G1420R, G1420D, G1420V,
900 13
1459 15 c.4376_4379delTCTT,
1755 14
1425 12
1713 7
1454 13
1424 10 I1424V,
1708 13 T1708I,
878 15 R878L, R878C, R878H,
1400 13 V1400I,
1421 6
1718 13 S1718R,
374 11 W374G,
1717 11 L1717P,
367 14 R367C, R367H, R367L,
1416 8 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
1760 11
370 13 T370M,
1752 12
879 15 W879R,
1686 14
1761 14 L1761F, L1761H, c.5280delG,
375 9
899 14
1710 6 S1710L,
1415 8
377 15
1419 0 K1419E,
1414 6 Q1414H,
1413 10