SCN5A Variant I1625S Detail

We estimate the penetrance of LQTS for SCN5A I1625S around 29% and the Brugada syndrome penetrance around 16%. SCN5A I1625S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1625S is not present in gnomAD. I1625S has been functionally characterized in 0 papers. This residue is located in a Mild_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 (1 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A I1625S around 29% (1/10) and the Brugada syndrome penetrance around 16% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.981 13 36
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 1 1 - -
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.

I1625S has 55 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
271 12 L271V,
266 13 L266H,
270 12 Q270K,
1627 7
1567 15 F1567L,
1624 4 V1624I,
1538 11
391 15
1568 13
1602 10
1542 12
1601 8 L1601H,
1575 14 C1575S,
1600 10
1571 12 F1571C,
1572 15
1564 13
1599 10
1545 12
1630 11 I1630R, I1630V,
1626 6 R1626P, R1626C, R1626L, R1626H,
267 11
1603 13 I1603F,
1625 0
1606 15 T1606I,
1596 11 F1596I, F1596C,
1628 6
1632 12 R1632L, R1632C, R1632H,
1539 15 C1539F, C1539Y,
1597 6 V1597M,
392 15
1620 9 T1620M, T1620K,
395 14
1594 7 F1594S,
264 14
1591 11 W1591X,
1593 11 I1593M,
1595 9
1619 10 P1619L, P1619Q, c.4856delC,
263 13 V263I,
1629 7 R1629X, R1629G, R1629Q,
1605 13 c.4813+3_4813+6dupGGGT, G1605C, c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, G1605D,
1574 14 E1574K, c.4719C>T,
1541 11
1592 13
1617 10 p.F1617del,
1631 12 G1631D,
1590 12
268 14 G268S,
1604 13 c.4810+3_4810+6dupGGGT, V1604M,
1622 6
1618 10
1621 6
1598 5 V1598A,
1623 8 c.4867delC, R1623X, R1623L, R1623Q,