SCN5A Variant G1631V Detail

We estimate the penetrance of LQTS for SCN5A G1631V around 32% and the Brugada syndrome penetrance around 24%. SCN5A G1631V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1631V is not present in gnomAD. G1631V has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a 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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A G1631V around 32% (1/10) and the Brugada syndrome penetrance around 24% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.951 29 40
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 1 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.

G1631V has 58 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
266 14 L266H,
1643 14 I1643L,
1627 9
1624 13 V1624I,
1536 14
1538 9
1531 13
1635 7
1634 5 L1634P,
1534 13
1542 11
1650 14 L1650F,
260 10
1571 15 F1571C,
258 14 V258A,
1654 15
1630 4 I1630R, I1630V,
1532 14 V1532I, V1532F,
1626 13 R1626L, R1626H, R1626C, R1626P,
267 14
1644 13 R1644L, R1644H, R1644C,
1625 12
262 12 S262G,
256 11
399 13
261 14
1628 6
1589 12
1632 5 R1632L, R1632H, R1632C,
1597 15 V1597M,
1539 10 C1539F, C1539Y,
255 14
395 14
1535 9
1537 14
1594 10 F1594S,
264 12
1638 14 R1638X, R1638Q,
1651 12
259 8
1633 5
1591 6 W1591X,
1593 13 I1593M,
1595 10
1637 10
1636 9
263 9 V263I,
1629 8 R1629Q, R1629X, R1629G,
1574 15 c.4719C>T, E1574K,
1541 13
1592 11
1540 15
1631 0 G1631D,
1590 10
1647 11
257 14
400 15 G400R, G400A, G400E,
1598 14 V1598A,