SCN5A Variant S1672P Detail

We estimate the penetrance of LQTS for SCN5A S1672P around 4% and the Brugada syndrome penetrance around 50%. SCN5A S1672P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1672P is not present in gnomAD. S1672P 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 (4 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 S1672P around 4% (0/10) and the Brugada syndrome penetrance around 50% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.863 75 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 11 0 4 - -
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.

S1672P has 68 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
1702 11
387 15
1218 15 S1218I, S1218T,
1304 10 T1304M,
1698 9 A1698T,
1220 12 G1220E,
1673 4
1675 6
1754 13
1707 11
1694 7
1704 7 L1704H,
1226 9
1706 13 Q1706H,
1747 14 V1747M,
1695 11 Q1695X,
1716 14 p.L1716SfsX71,
1669 6
1671 7
1221 13 A1221V,
1668 7 M1668T,
1676 5 M1676T, M1676I,
1692 14
1219 11 S1219N,
1672 0 S1672Y,
1693 11
1699 10
1310 14
1306 15 R1306S, R1306H,
1665 10
1305 13
1680 12 A1680T, A1680P,
1703 9
1663 14
1759 14 S1759C,
1701 7 M1701I,
1307 10
1758 14 p.I1758del, I1758V,
1228 14 Y1228C, Y1228F, Y1228H,
1678 10 N1678S,
1223 8 c.3667delG,
1755 10
1697 8
1222 10 L1222R, p.L1222LfsX7,
1227 12
1674 7 F1674V,
390 14
1748 14 p.G1748del, G1748D,
1708 12 T1708I,
1301 12
1696 9
1705 11
1700 5
1751 9
1311 15 L1311P,
1677 9
1682 14
1308 12 L1308F,
1752 12
1224 11
1670 6
1225 11 E1225K, G1225K,
1720 14 c.5157delC,
1679 9
1667 9 V1667I,
1664 13
1303 14 R1303Q, R1303W,
1666 10