SCN5A Variant D1430G Detail

We estimate the penetrance of LQTS for SCN5A D1430G around 6% and the Brugada syndrome penetrance around 49%. SCN5A D1430G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1430G is not present in gnomAD. D1430G 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 D1430G around 6% (0/10) and the Brugada syndrome penetrance around 49% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.981 73 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.

D1430G has 62 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 15
1355 12
1357 13 A1357V,
1386 12
1430 0 D1430N,
1352 15
1426 5
1445 12 Y1445H,
1361 9
1447 13
1444 9 L1444I,
1440 7 W1440X,
1382 11 S1382I,
1395 13
1397 13 c.4190delA, c.4189delT,
1449 14 Y1449S, Y1449C,
1380 10 N1380K, p.N1380del,
1429 5
1442 8 Y1442N, Y1442C,
1450 13
1398 11 V1398M,
886 13 H886Q, H886P,
1358 12 G1358W, G1358R,
1396 13
1362 7 R1362S, c.4083delG,
1433 9 G1433V, G1433R, G1433W,
1438 5 P1438L,
1388 14
1423 11 D1423H,
1387 12 L1387F,
1437 8
1431 4 S1431C,
1422 13 M1422R,
1383 12 Q1383X,
1359 8 K1359N, K1359M,
1434 12 c.4299+28C>T, c.4299delG, c.4300-1G>A, c.4299G>A, c.4299+1delG, c.4299+1G>T, c.4299_4300insG, c.4299+2T>A, Y1434X, c.4300-2A>T,
1356 10 c.4066_4068delTT,
1381 14
889 15
1420 15 G1420P, G1420R, G1420D, G1420V,
1435 14
1360 8 F1360C,
1401 14
1425 9
1427 5 A1427E, A1427S,
1446 11
1424 10 I1424V,
1432 8 R1432G, R1432S,
1439 6 Q1439R, Q1439H,
1364 13 I1364V,
878 10 R878L, R878C, R878H,
1400 14 V1400I,
1421 15
1443 8 N1443S,
1441 9 E1441Q,
1379 15
877 14
879 12 W879R,
1428 5 A1428S, A1428V,
1363 12 C1363Y,
1436 11
1402 13