SCN5A Variant K1562M Detail

We estimate the penetrance of LQTS for SCN5A K1562M around 14% and the Brugada syndrome penetrance around 14%. SCN5A K1562M was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. K1562M is not present in gnomAD. K1562M has been functionally characterized in 0 papers. This residue is located in a Mild_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 K1562M around 14% (0/10) and the Brugada syndrome penetrance around 14% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.808 12 15
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.

K1562M has 27 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
1606 12 T1606I,
1560 7 L1560F,
1569 12 A1569P,
1564 8
1570 14 p.1570_F1571insI, p.I1570dup, I1570V,
1559 5 I1559V,
1544 12 T1544P,
1553 13 S1553R,
1605 15 c.4813+3_4813+6dupGGGT, G1605C, c.4813+5insTGGG, G1605D, c.4813+2_4813+5dupTGGG,
1547 14 V1547L,
1563 6
1541 14
1554 12
1567 10 F1567L,
1540 15
1566 8
1556 10
1568 12
1545 15
1565 6 L1565M,
1602 15
1558 6
1548 14 E1548K, G1548K,
1561 5
1557 9 I1557V,
1555 11 E1555K,
1562 0