SCN5A Variant V1543G Detail

We estimate the penetrance of LQTS for SCN5A V1543G around 11% and the Brugada syndrome penetrance around 9%. SCN5A V1543G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1543G is not present in gnomAD. V1543G 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 (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 V1543G around 11% (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 0.902 2 10
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.

V1543G has 48 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
266 9 L266H,
1544 4 T1544P,
270 12 Q270K,
1627 11
1567 10 F1567L,
1536 10
1549 13
1538 9
1566 14
1556 13
1543 0 V1543A, V1543L,
1534 14
1542 5
361 15
1571 14 F1571C,
1564 11
258 14 V258A,
1546 5 M1546T,
1545 7
1630 11 I1630R, I1630V,
1626 11 R1626C, R1626H, R1626L, R1626P,
267 13
1560 10 L1560F,
262 10 S262G,
357 13
362 14
261 15
1559 13 I1559V,
1628 15
1539 7 C1539F, C1539Y,
269 12
1535 13
1537 10
259 12
1633 14
1548 10 E1548K, G1548K,
265 12 A265V,
358 10
263 11 V263I,
359 14 A359T, p.A359PfsX12,
1629 14 R1629G, R1629X, R1629Q,
1547 7 V1547L,
1563 10
1541 6
1540 5
268 15 G268S,
1561 14
1623 14 R1623Q, c.4867delC, R1623X, R1623L,