SCN5A Variant N1472T Detail

We estimate the penetrance of LQTS for SCN5A N1472T around 67% and the Brugada syndrome penetrance around 10%. SCN5A N1472T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. N1472T is not present in gnomAD. N1472T has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 diagnosed with Brugada syndrome) and 5 individuals for LQTS (3 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A N1472T around 67% (3/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.9 3 91
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 3 0 - -
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.

N1472T has 55 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
1328 10 V1328M,
939 12 L939F,
1480 13 c.4437+5G>A, c.4438-1C>T,
1773 10
1765 12
943 11 S943N,
1472 0 p.N1472del, N1472S,
1771 15 I1771T,
1487 15 M1487L, M1487K,
1764 15 c.5290delG, V1764F,
1333 8
1477 10 K1477N,
1471 5
1762 11 p.I1762del, I1762M,
1470 7
1464 12 c.4389_4396delCCTCTTTA, L1464P,
1466 10 c.4396_4397insG,
1478 11 K1478E,
944 10
1660 15 I1660S, I1660V,
1329 7 G1329S,
1769 9
1766 9 M1766V, M1766T, M1766L,
1768 12 I1768V,
1774 15 c.5321_5324dupACTT, N1774D,
1479 10
1473 5 F1473S, F1473C,
1334 10 I1334V,
1468 6 V1468F, V1468A,
938 14
1474 7
1324 12
1327 9
942 13
1330 6 A1330T, A1330D, A1330P,
1772 13 L1772V,
1323 11 V1323G,
1770 12 I1770V,
1482 15
1322 11 c.3963+4A>G, c.3963+2T>C,
1337 13
1326 6 A1326S,
1763 13 V1763M, V1763L,
1332 10 P1332Q, P1332L,
1465 11 p.F1465_L1480dup,
1467 8
1476 7 Q1476X, Q1476R,
1484 14
1331 10 I1331V,
1761 14 L1761F, L1761H, c.5280delG,
1475 7 p.Q1475NfsX6, Q1475L,
1469 5 I1469V,
1336 13
1325 10 N1325S,
1335 14 M1335R,