SCN5A Variant T1572I Detail

We estimate the penetrance of LQTS for SCN5A T1572I around 4% and the Brugada syndrome penetrance around 49%. SCN5A T1572I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1572I is not present in gnomAD. T1572I 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 (4 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 T1572I around 4% (0/10) and the Brugada syndrome penetrance around 49% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.945 72 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 11 0 4 - -
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.

T1572I has 50 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 5 A1569P,
1525 14 V1525A, V1525M,
1524 14 I1524T,
1586 12
1567 10 F1567L,
1538 13
1566 10
1568 6
1602 9
1534 11
1601 12 L1601H,
1575 5 C1575S,
1608 15
1600 9
1571 6 F1571C,
1521 13 I1521K, I1521T,
1572 0
1564 13
1570 6 p.I1570dup, p.1570_F1571insI, I1570V,
1599 6
1580 12
1626 13 R1626C, R1626L, R1626P, R1626H,
1603 9 I1603F,
1625 15
1606 11 T1606I,
1576 6
1596 10 F1596C, F1596I,
1597 12 V1597M,
1530 12
1573 4
1535 15
1537 12
1565 11 L1565M,
1581 14 A1581S,
1593 15 I1593M,
1595 10
1629 12 R1629G, R1629Q, R1629X,
1605 13 c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D,
1574 6 c.4719C>T, E1574K,
1533 14 T1533I,
1563 15
1541 14
1607 12
1592 13
1578 10 c.4732_4733dupAA,
1604 13 V1604M, c.4810+3_4810+6dupGGGT,
1622 14
1579 11 L1579fsX53,
1598 10 V1598A,
1577 9