SCN5A Variant I1510V Detail

We estimate the penetrance of LQTS for SCN5A I1510V around 17% and the Brugada syndrome penetrance around 13%. SCN5A I1510V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1510V is not present in gnomAD. I1510V has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (1 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 I1510V around 17% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.681 11 20
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 14 0 1 - -
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.

I1510V has 40 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
1803 10
1525 10 V1525M, V1525A,
1524 13 I1524T,
1512 8 R1512W, R1512Q, R1512L,
1586 11
1514 13 L1514M,
1518 13
1531 15
1587 13 F1587V,
1511 5
1802 12
1522 7
1510 0
1523 11 D1523N,
1521 13 I1521K, I1521T,
1527 15 K1527R,
1507 10 p.Q1507_P1509del,
1509 5 P1509T,
1804 11
1526 9 T1526P,
1583 9 R1583H, R1583C,
1580 11
1585 5 Y1585C,
1519 12
1589 12
1584 10
1800 12
1796 13
1799 9
1588 10 T1588I,
1581 8 A1581S,
1513 9
1508 7
1805 12
1592 13
1578 12 c.4732_4733dupAA,
1506 13 P1506S, P1506T,
1582 6 L1582P,
1579 12 L1579fsX53,
1577 13