SCN5A Variant G1605V Detail

We estimate the penetrance of LQTS for SCN5A G1605V around 4% and the Brugada syndrome penetrance around 36%. SCN5A G1605V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1605V is not present in gnomAD. G1605V 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 (3 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 G1605V around 4% (0/10) and the Brugada syndrome penetrance around 36% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.967 49 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 12 0 3 - -
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.

G1605V has 41 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 13 A1569P,
1567 15 F1567L,
1566 15
1568 10
1602 5
1601 7 L1601H,
1609 6 S1609W, S1609L,
1562 15
1608 5
1613 10 Q1613H, Q1613L,
1600 10
1571 14 F1571C,
1612 13
1615 14 Y1615X,
1572 13
1564 11
1599 10
1626 12 R1626P, R1626C, R1626L, R1626H,
1603 6 I1603F,
1625 13
1606 4 T1606I,
1610 7 D1610G,
1596 15 F1596I, F1596C,
1597 13 V1597M,
1620 13 T1620M, T1620K,
1565 10 L1565M,
1614 14
1619 10 P1619L, P1619Q, c.4856delC,
1605 0 c.4813+3_4813+6dupGGGT, G1605C, c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, G1605D,
1611 11 I1611V,
1563 15
1616 9
1607 6
1617 7 p.F1617del,
1604 4 c.4810+3_4810+6dupGGGT, V1604M,
1622 8
1618 10
1621 13
1598 11 V1598A,
1561 12
1623 12 c.4867delC, R1623X, R1623L, R1623Q,