SCN5A Variant P1513H Detail

We estimate the penetrance of LQTS for SCN5A P1513H around 15% and the Brugada syndrome penetrance around 11%. SCN5A P1513H was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1513H is not present in gnomAD. P1513H has been functionally characterized in 0 papers. This residue is located in a Non_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 P1513H around 15% (0/10) and the Brugada syndrome penetrance around 11% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.89 6 17
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.

P1513H has 32 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
1523 10 D1523N,
1521 9 I1521K, I1521T,
1508 15
1585 11 Y1585C,
1803 14
1576 14
1517 11
1525 11 V1525M, V1525A,
1519 6
1584 11
1515 7 N1515S, c.4542+15G>A,
1524 13 I1524T,
1512 5 R1512W, R1512L, R1512Q,
1586 14
1514 5 L1514M,
1518 5
1509 12 P1509T,
1578 13 c.4732_4733dupAA,
1804 15
1526 12 T1526P,
1516 11 L1516sp,
1583 8 R1583C, R1583H,
1580 8
1511 7
1513 0
1581 7 A1581S,
1582 9 L1582P,
1579 12 L1579fsX53,
1522 7
1520 10
1577 12
1510 9