SCN5A Variant V160D Detail

We estimate the penetrance of LQTS for SCN5A V160D around 4% and the Brugada syndrome penetrance around 44%. SCN5A V160D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V160D is not present in gnomAD. V160D 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 V160D around 4% (0/10) and the Brugada syndrome penetrance around 44% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.979 63 1
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.

V160D has 37 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
208 12 E208K,
154 13 P154L,
142 14
156 10 W156X, W156R,
168 11
158 7 K158T,
163 5 c.486delC,
166 10 A166T,
141 13 I141N, I141V,
167 10
161 5 E161Q, E161K,
219 14 c.656_657insATTCA, R219H, R219C, p.R219HfsX11,
137 15 I137V,
225 15 R225Q, R225W,
169 14
144 9
151 11
222 12 R222L, R222Q, R222X,
159 4 Y159C, Y159X,
153 14
155 11
149 13
147 7
207 14
150 11
164 5 F164L,
139 14 p.I137_C139dup,
157 5 T157I,
148 11
160 0 p.V160fs,
165 9
145 13
140 10
204 13 A204V, A204T, c.611+3_611+4dupAA, c.611+1G>A,
162 7 Y162H, Y162C,
143 9
146 11 V146A, V146M,