SCN5A Variant V1525G Detail

We estimate the penetrance of LQTS for SCN5A V1525G around 8% and the Brugada syndrome penetrance around 19%. SCN5A V1525G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1525G is not present in gnomAD. V1525G has been functionally characterized in 0 papers. This residue is located in a Mild_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 (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 V1525G around 8% (0/10) and the Brugada syndrome penetrance around 19% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.952 20 6
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.

V1525G has 51 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
1525 0 V1525M, V1525A,
1524 5 I1524T,
1512 11 R1512W, R1512Q, R1512L,
1586 10
1518 11
1531 7
1635 13
1587 14 F1587V,
1534 11
1511 13
1522 5
1575 10 C1575S,
1510 10
1571 14 F1571C,
1523 7 D1523N,
1521 7 I1521T, I1521K,
1527 7 K1527R,
1572 14
1570 14 p.1570_F1571insI, p.I1570dup, I1570V,
1529 10
1509 13 P1509T,
1526 4 T1526P,
1583 12 R1583C, R1583H,
1580 9
1532 12 V1532F, V1532I,
1585 12 Y1585C,
1576 10
1517 15
1519 10
1589 12
1584 14
1800 15
1632 13 R1632L, R1632H, R1632C,
1530 6
1573 11
1535 13
1799 15
1588 14 T1588I,
1581 6 A1581S,
1591 15 W1591X,
1513 11
1520 11
1595 13
1574 9 c.4719C>T, E1574K,
1533 12 T1533I,
1592 10
1578 5 c.4732_4733dupAA,
1528 10
1582 7 L1582P,
1579 10 L1579fsX53,
1577 6