SCN5A Variant I1534V Detail

We estimate the penetrance of LQTS for SCN5A I1534V around 5% and the Brugada syndrome penetrance around 9%. SCN5A I1534V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1534V is not present in gnomAD. I1534V 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 I1534V around 5% (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 0.802 3 2
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.

I1534V has 57 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
1569 11 A1569P,
1525 11 V1525A, V1525M,
1544 15 T1544P,
1627 15
1524 11 I1524T,
1586 14
1567 10 F1567L,
1536 7
1538 7
1531 6
1566 12
1635 12
1568 11
1543 14 V1543A, V1543L,
1534 0
1542 13
1575 10 C1575S,
1571 7 F1571C,
1521 15 I1521K, I1521T,
1527 11 K1527R,
1572 11
1564 15
1570 7 I1570V, p.I1570dup, p.1570_F1571insI,
1529 8
1599 13
1526 13 T1526P,
1630 11 I1630V, I1630R,
1532 7 V1532I, V1532F,
1626 13 R1626H, R1626L, R1626P, R1626C,
1576 13
1596 15 F1596I, F1596C,
1628 14
1589 15
1632 8 R1632L, R1632C, R1632H,
1539 9 C1539Y, C1539F,
1530 6
1573 9
1535 5
1537 5
1594 15 F1594S,
1633 12
1591 13 W1591X,
1595 10
1636 11
1629 9 R1629X, R1629G, R1629Q,
1574 6 E1574K, c.4719C>T,
1533 5 T1533I,
1563 15
1541 11
1592 11
1578 9 c.4732_4733dupAA,
1540 10
1528 12
1631 13 G1631D,
1579 15 L1579fsX53,
1598 13 V1598A,
1577 11