SCN5A Variant G1573D Detail

We estimate the penetrance of LQTS for SCN5A G1573D around 3% and the Brugada syndrome penetrance around 49%. SCN5A G1573D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1573D is not present in gnomAD. G1573D 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 G1573D around 3% (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 0.77 75 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.

G1573D 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
1569 7 A1569P,
1525 11 V1525A, V1525M,
1524 10 I1524T,
1586 12
1518 14
1567 12 F1567L,
1538 14
1531 12
1566 11
1568 9
1602 12
1534 9
1522 14
1575 5 C1575S,
1600 13
1571 7 F1571C,
1523 15 D1523N,
1521 10 I1521K, I1521T,
1527 14 K1527R,
1572 4
1570 6 p.I1570dup, I1570V, p.1570_F1571insI,
1529 14
1599 9
1526 15 T1526P,
1580 10
1532 15 V1532F, V1532I,
1603 13 I1603F,
1576 4
1596 11 F1596I, F1596C,
1632 15 R1632C, R1632H, R1632L,
1597 14 V1597M,
1530 9
1573 0
1535 14
1537 12
1565 14 L1565M,
1581 12 A1581S,
1520 15
1595 11
1629 13 R1629G, R1629Q, R1629X,
1574 5 E1574K, c.4719C>T,
1533 12 T1533I,
1592 12
1578 8 c.4732_4733dupAA,
1582 13 L1582P,
1579 10 L1579fsX53,
1598 12 V1598A,
1577 6