SCN5A Variant M1542I Detail

We estimate the penetrance of LQTS for SCN5A M1542I around 13% and the Brugada syndrome penetrance around 10%. SCN5A M1542I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. M1542I is not present in gnomAD. M1542I 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 M1542I around 13% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.931 4 13
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.

M1542I has 58 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
271 14 L271V,
266 6 L266H,
1544 7 T1544P,
270 10 Q270K,
1627 6
1567 11 F1567L,
1624 11 V1624I,
1536 11
1538 6
1568 14
1634 14 L1634P,
1543 5 V1543L, V1543A,
1534 13
1542 0
361 14
260 12
1571 13 F1571C,
1564 12
258 12 V258A,
1546 6 M1546T,
1545 6
1630 6 I1630R, I1630V,
1626 8 R1626P, R1626C, R1626L, R1626H,
267 10
1625 12
1560 13 L1560F,
262 7 S262G,
357 15
256 15
362 14
261 12
1628 9
1632 11 R1632L, R1632C, R1632H,
1539 6 C1539F, C1539Y,
269 11
1535 11
1537 9
264 11
259 9
1633 11
1591 15 W1591X,
1548 11 E1548K, G1548K,
1595 14
265 10 A265V,
1636 15
358 10
263 7 V263I,
359 15 A359T, p.A359PfsX12,
1629 9 R1629X, R1629G, R1629Q,
1547 10 V1547L,
1563 12
1541 5
1540 7
1631 11 G1631D,
268 12 G268S,
1622 13
1598 13 V1598A,
1623 11 c.4867delC, R1623X, R1623L, R1623Q,