SCN5A Variant D152H Detail

We estimate the penetrance of LQTS for SCN5A D152H around 3% and the Brugada syndrome penetrance around 8%. SCN5A D152H was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D152H is not present in gnomAD. D152H 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 D152H around 3% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.696 2 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.

D152H has 41 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
880 12
888 14
154 6 P154L,
856 14 V856L,
862 12
859 12
1445 15 Y1445H,
1447 15
1444 13 L1444I,
153 5
149 6
147 10
863 14
887 11
156 9 W156R, W156X,
886 11 H886P, H886Q,
851 13 p.F851CfsX19, c.2550_2551dupGT, c.2552_2553dupGT, F851L,
854 12 c.2559delT,
155 9
857 13 G857D,
150 6
157 12 T157I,
882 8
881 12
889 15
858 8 M858L,
144 14
855 11
865 15
148 9
884 8
866 14 S866L, S866P,
885 9
146 11 V146A, V146M,
1441 13 E1441Q,
152 0 D152N,
161 15 E161K, E161Q,
219 13 R219H, c.656_657insATTCA, R219C, p.R219HfsX11,
151 6
883 6
145 13