SCN5A Variant G1457V Detail

We estimate the penetrance of LQTS for SCN5A G1457V around 39% and the Brugada syndrome penetrance around 28%. SCN5A G1457V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1457V is not present in gnomAD. G1457V has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (2 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A G1457V around 39% (1/10) and the Brugada syndrome penetrance around 28% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.951 35 51
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 1 2 - -
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.

G1457V has 67 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
896 11 C896S,
937 15
895 13 L895F,
1417 10
839 13 L839P,
842 15
1340 10 V1340I,
1457 0
1453 6
1455 6
1757 15
1339 14 L1339F, p.L1339del,
1351 14 M1351R, M1351V,
1449 12 Y1449S, Y1449C,
1452 9
1756 15 I1756V,
1461 4 T1461S,
1344 8 F1344L, F1344S,
1450 11
1411 13
1451 10 V1451L, V1451D,
934 11
1458 4 S1458Y,
1410 15
935 13 L935P,
1348 9 F1348L,
1464 9 c.4389_4396delCCTCTTTA, L1464P,
1466 13 c.4396_4397insG,
1349 13
1346 13 L1346P, L1346I,
1418 10
892 13 F892I,
1341 8
1462 6
938 12
1412 9 L1412F,
1408 14 G1408R,
942 14
843 13 T843A,
1456 6
1459 6 c.4376_4379delTCTT,
1460 6 F1460L,
1454 6
1338 12 L1338V,
1448 14 I1448L, I1448T,
1409 12 Y1409C, Y1409X,
1421 13
1343 12
1345 7 W1345C,
1337 11
846 15 L846R,
1342 12
1416 6 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
1465 10 p.F1465_L1480dup,
1760 13
1467 14
1761 12 L1761F, L1761H, c.5280delG,
1347 11
1415 9
829 15
832 13
828 13 L828V,
1419 15 K1419E,
1414 13 Q1414H,
931 12
1463 8 N1463Y,
1413 10