SCN5A Variant G1675A Detail

We estimate the penetrance of LQTS for SCN5A G1675A around 4% and the Brugada syndrome penetrance around 13%. SCN5A G1675A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1675A is not present in gnomAD. G1675A has been functionally characterized in 0 papers. This residue is located in a Non_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 (1 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 G1675A around 4% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.906 10 0
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 14 0 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.

G1675A has 67 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 14
1746 13 A1746V, A1746T,
1304 9 T1304M,
1698 13 A1698T,
1745 13
1673 6
1675 0
1743 12 G1743R, G1743E,
1754 12
1707 12
1681 12 c.5040_5042delTTAinsC, Y1681F,
1694 6
1704 10 L1704H,
1226 9
1747 9 V1747M,
1695 11 Q1695X,
1716 12 p.L1716SfsX71,
1688 14
1669 11
1671 7
1668 11 M1668T,
1676 4 M1676I, M1676T,
1692 15
1744 10 S1744I,
1721 14
1219 15 S1219N,
1753 14 T1753A,
1672 6 S1672Y,
1742 14
1693 11
1699 12
1305 13
1680 8 A1680T, A1680P,
1703 11
1302 13 p.L1302Vfs18,
1719 14
1701 12 M1701I,
1307 12
1678 5 N1678S,
1223 12 c.3667delG,
1755 11
1697 12
1222 12 p.L1222LfsX7, L1222R,
1227 12
1300 12
1674 4 F1674V,
1748 10 G1748D, p.G1748del,
1301 10
1696 11
1700 8
1717 13 L1717P,
1751 7
1677 5
1682 11
1308 14 L1308F,
1750 12 L1750F,
1752 10
1224 15
1670 9
1749 13 I1749N,
1740 14 G1740R,
1225 12 G1225K, E1225K,
1720 10 c.5157delC,
1679 4
1667 12 V1667I,
1303 14 R1303Q, R1303W,
1666 14