SCN5A Variant A1561P Detail

We estimate the penetrance of LQTS for SCN5A A1561P around 18% and the Brugada syndrome penetrance around 11%. SCN5A A1561P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1561P is not present in gnomAD. A1561P 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 A1561P around 18% (0/10) and the Brugada syndrome penetrance around 11% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.655 7 22
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.

A1561P has 40 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 12 A1569P,
1544 10 T1544P,
270 14 Q270K,
1567 10 F1567L,
1552 15 Q1552R, Q1552L,
1549 15
1566 9
1556 10
1568 10
1543 14 V1543A, V1543L,
1602 12
1558 6
1609 14 S1609L, S1609W,
1557 7 I1557V,
1562 5
1571 14 F1571C,
1564 5
1570 14 p.I1570dup, p.1570_F1571insI, I1570V,
1545 11
1626 12 R1626C, R1626L, R1626P, R1626H,
1603 15 I1603F,
1606 10 T1606I,
1560 5 L1560F,
1559 6 I1559V,
1553 12 S1553R,
1537 15
1565 6 L1565M,
1548 11 E1548K, G1548K,
1555 12 E1555K,
1619 14 P1619L, c.4856delC, P1619Q,
1605 12 c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D,
1547 12 V1547L,
1563 6
1541 11
1554 11
1607 14
1540 14
1622 13
1561 0
1623 13 R1623Q, c.4867delC, R1623L, R1623X,