SCN5A Variant S1602P Detail

We estimate the penetrance of LQTS for SCN5A S1602P around 6% and the Brugada syndrome penetrance around 22%. SCN5A S1602P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1602P is not present in gnomAD. S1602P has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 S1602P around 6% (0/10) and the Brugada syndrome penetrance around 22% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.968 25 3
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 13 0 2 - -
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.

S1602P has 54 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 9 A1569P,
1627 14
1567 11 F1567L,
1624 13 V1624I,
1538 14
1566 12
1568 6
1602 0
1601 5 L1601H,
1609 11 S1609L, S1609W,
1575 11 C1575S,
1562 15
1608 9
1613 14 Q1613L, Q1613H,
1600 6
1571 9 F1571C,
1572 9
1564 9
1570 12 p.1570_F1571insI, p.I1570dup, I1570V,
1599 5
1545 14
1626 9 R1626P, R1626C, R1626L, R1626H,
1603 4 I1603F,
1625 10
1606 5 T1606I,
1560 15 L1560F,
1610 13 D1610G,
1576 14
1596 10 F1596C, F1596I,
1628 15
1597 9 V1597M,
1620 14 T1620M, T1620K,
1573 12
1537 15
1565 9 L1565M,
1594 14 F1594S,
1593 15 I1593M,
1595 11
1619 11 P1619Q, c.4856delC, P1619L,
1629 12 R1629Q, R1629X, R1629G,
1605 5 c.4813+3_4813+6dupGGGT, c.4813+2_4813+5dupTGGG, G1605D, G1605C, c.4813+5insTGGG,
1574 13 c.4719C>T, E1574K,
1563 13
1541 12
1616 12
1607 8
1617 9 p.F1617del,
1604 6 V1604M, c.4810+3_4810+6dupGGGT,
1622 7
1618 11
1621 12
1598 6 V1598A,
1561 12
1623 12 c.4867delC, R1623X, R1623Q, R1623L,