SCN5A Variant V1597A Detail

We estimate the penetrance of LQTS for SCN5A V1597A around 14% and the Brugada syndrome penetrance around 9%. SCN5A V1597A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1597A is not present in gnomAD. V1597A 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 (0 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 V1597A around 14% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.906 2 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 15 0 0 - -
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.

V1597A has 51 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 15 A1569P,
1627 13
1586 11
1624 11 V1624I,
1538 14
1568 12
1587 11 F1587V,
1602 9
1601 6 L1601H,
1575 10 C1575S,
1600 5
1571 11 F1571C,
1572 12
1599 6
1630 15 I1630R, I1630V,
1626 10 R1626P, R1626C, R1626L, R1626H,
1603 10 I1603F,
1625 6
1606 14 T1606I,
1576 14
1596 5 F1596I, F1596C,
1628 10
1589 13
1632 13 R1632L, R1632C, R1632H,
1597 0 V1597M,
1620 14 T1620M, T1620K,
1573 14
1594 6 F1594S,
1588 15 T1588I,
1591 12 W1591X,
1593 7 I1593M,
1595 7
1619 14 P1619L, P1619Q, c.4856delC,
1629 9 R1629X, R1629G, R1629Q,
1605 13 c.4813+3_4813+6dupGGGT, G1605C, c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, G1605D,
1574 12 E1574K, c.4719C>T,
1541 15
1616 14
1607 15
1592 10
1578 13 c.4732_4733dupAA,
1617 10 p.F1617del,
1631 15 G1631D,
1590 11
1604 10 c.4810+3_4810+6dupGGGT, V1604M,
1622 9
1618 12
1621 10
1579 13 L1579fsX53,
1598 4 V1598A,
1623 13 c.4867delC, R1623X, R1623L, R1623Q,