SCN5A Variant A1628G Detail

We estimate the penetrance of LQTS for SCN5A A1628G around 19% and the Brugada syndrome penetrance around 26%. SCN5A A1628G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1628G is not present in gnomAD. A1628G 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 (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 A1628G around 19% (0/10) and the Brugada syndrome penetrance around 26% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.938 32 22
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.

A1628G has 62 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 14 L271V,
266 11 L266H,
1544 15 T1544P,
270 13 Q270K,
1627 5
396 15 V396L, V396A,
1624 6 V1624I,
1538 9
391 15
1635 13
1634 11 L1634P,
1543 15 V1543L, V1543A,
1602 15
1534 14
1542 9
1601 13 L1601H,
260 12
1571 13 F1571C,
1599 13
1546 14 M1546T,
1545 12
1630 6 I1630R, I1630V,
1626 8 R1626L, R1626H, R1626C, R1626P,
267 10
1625 6
262 12 S262G,
399 13
261 15
1596 13 F1596I, F1596C,
1628 0
1589 13
1632 8 R1632L, R1632H, R1632C,
1539 11 C1539F, C1539Y,
1597 10 V1597M,
392 14
1620 13 T1620M, T1620K,
395 12
1535 11
1537 14
1594 7 F1594S,
264 10
259 11
1633 11
1591 7 W1591X,
1593 11 I1593M,
1595 9
265 13 A265V,
1619 15 P1619Q, c.4856delC, P1619L,
1636 15
263 8 V263I,
1629 6 R1629Q, R1629X, R1629G,
1574 14 c.4719C>T, E1574K,
1541 11
1592 12
1540 15
1631 6 G1631D,
1590 10
268 14 G268S,
1622 11
1621 11
1598 9 V1598A,
1623 11 R1623Q, R1623L, R1623X, c.4867delC,