SCN5A Variant V1429M Detail

We estimate the penetrance of LQTS for SCN5A V1429M around 6% and the Brugada syndrome penetrance around 42%. SCN5A V1429M was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1429M is not present in gnomAD. V1429M 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 V1429M around 6% (0/10) and the Brugada syndrome penetrance around 42% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.865 62 4
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.

V1429M has 59 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
880 13
888 14
1355 11
890 15 I890T,
1357 14 A1357V,
1430 5 D1430N,
1352 13
1426 6
1445 8 Y1445H,
1361 12
1447 8
1444 6 L1444I,
1440 8 W1440X,
1449 11 Y1449S, Y1449C,
1380 15 N1380K, p.N1380del,
1429 0
1442 8 Y1442N, Y1442C,
1450 9
1398 13 V1398M,
1411 15
1451 13 V1451L, V1451D,
886 11 H886P, H886Q,
1358 14 G1358R, G1358W,
1362 11 c.4083delG, R1362S,
1433 11 G1433R, G1433V, G1433W,
1438 9 P1438L,
1423 11 D1423H,
1437 12
1431 6 S1431C,
1422 11 M1422R,
892 15 F892I,
1359 10 K1359N, K1359M,
1434 13 c.4300-2A>T, c.4300-1G>A, c.4299+28C>T, c.4299+1delG, Y1434X, c.4299+2T>A, c.4299_4300insG, c.4299G>A, c.4299+1G>T, c.4299delG,
1356 9 c.4066_4068delTT,
893 15 R893H, R893C,
889 11
1420 14 G1420D, G1420P, G1420V, G1420R,
1360 9 F1360C,
1401 14
1425 6
1427 6 A1427S, A1427E,
1446 7
1424 9 I1424V,
1432 10 R1432G, R1432S,
1448 11 I1448L, I1448T,
1439 9 Q1439R, Q1439H,
878 10 R878L, R878H, R878C,
1400 14 V1400I,
1421 13
885 11
1443 6 N1443S,
1441 9 E1441Q,
877 14
879 10 W879R,
883 14
1415 14
1428 4 A1428S, A1428V,
1436 14
1402 12