SCN5A Variant V1568E Detail

We estimate the penetrance of LQTS for SCN5A V1568E around 4% and the Brugada syndrome penetrance around 37%. SCN5A V1568E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1568E is not present in gnomAD. V1568E has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 V1568E around 4% (0/10) and the Brugada syndrome penetrance around 37% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.967 51 0
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 12 0 3 - -
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.

V1568E has 52 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 4 A1569P,
1544 13 T1544P,
1627 14
1567 6 F1567L,
1538 11
1566 7
1568 0
1602 6
1534 11
1542 14
1601 11 L1601H,
1575 10 C1575S,
1562 12
1608 13
1600 10
1571 5 F1571C,
1572 6
1564 7
1570 6 p.1570_F1571insI, p.I1570dup, I1570V,
1599 7
1545 13
1626 9 R1626P, R1626C, R1626L, R1626H,
1603 8 I1603F,
1625 13
1606 8 T1606I,
1560 13 L1560F,
1576 12
1596 12 F1596C, F1596I,
1559 14 I1559V,
1539 15 C1539Y, C1539F,
1597 12 V1597M,
1573 9
1535 14
1537 10
1565 6 L1565M,
1595 11
1629 11 R1629Q, R1629X, R1629G,
1605 10 c.4813+3_4813+6dupGGGT, c.4813+2_4813+5dupTGGG, G1605D, G1605C, c.4813+5insTGGG,
1574 10 c.4719C>T, E1574K,
1533 15 T1533I,
1563 9
1541 10
1607 10
1578 14 c.4732_4733dupAA,
1540 13
1617 14 p.F1617del,
1604 12 V1604M, c.4810+3_4810+6dupGGGT,
1622 10
1598 8 V1598A,
1561 10
1577 14
1623 14 c.4867delC, R1623X, R1623Q, R1623L,