SCN5A Variant H151D Detail

We estimate the penetrance of LQTS for SCN5A H151D around 2% and the Brugada syndrome penetrance around 9%. SCN5A H151D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. H151D is not present in gnomAD. H151D has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 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 H151D around 2% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.519 5 0
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 15 0 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.

H151D has 49 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
154 7 P154L,
223 12 V223L,
856 13 V856L,
862 13
859 9
153 7
149 5
147 6
164 12 F164L,
863 14
887 13
143 12
142 15
156 6 W156R, W156X,
158 11 K158T,
886 15 H886P, H886Q,
163 15 c.486delC,
216 14 S216L, S216X,
851 12 p.F851CfsX19, c.2550_2551dupGT, c.2552_2553dupGT, F851L,
852 14
854 12 c.2559delT,
222 10 R222X, R222L, R222Q,
155 8
857 13 G857D,
150 6
157 8 T157I,
882 12
160 11 p.V160fs,
881 14
860 15 p.L860fsx89,
858 8 M858L,
144 9
855 9
148 6
884 10
204 15 A204T, c.611+1G>A, c.611+3_611+4dupAA, A204V,
162 14 Y162C, Y162H,
885 13
146 9 V146A, V146M,
152 6 D152N,
141 15 I141N, I141V,
161 9 E161K, E161Q,
219 9 R219H, c.656_657insATTCA, R219C, p.R219HfsX11,
151 0
159 13 Y159C, Y159X,
883 10
207 14
145 10
220 13 T220I,