SCN5A Variant T1696P Detail

We estimate the penetrance of LQTS for SCN5A T1696P around 4% and the Brugada syndrome penetrance around 27%. SCN5A T1696P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1696P is not present in gnomAD. T1696P has been functionally characterized in 0 papers. This residue is located in a Mild_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 (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 T1696P around 4% (0/10) and the Brugada syndrome penetrance around 27% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.987 32 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 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.

T1696P has 57 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
333 13 c.998+1G>A, c.998+5G>A,
1702 9
387 10
330 13 S330F,
388 15 I388S,
1698 5 A1698T,
1220 13 G1220E,
1673 10
1675 11
332 13 A332T,
1681 11 c.5040_5042delTTAinsC, Y1681F,
1694 8
1704 12 L1704H,
1226 7
1695 5 Q1695X,
1688 13
1669 12
1671 15
1221 13 A1221V,
1676 7 M1676T, M1676I,
1668 13 M1668T,
386 14 G386R, G386E,
1692 10
1219 15 S1219N,
1672 9 S1672Y,
1693 6
1699 5
331 9
1665 15
1680 10 A1680T, A1680P,
1703 10
1235 14
1231 12 E1231K,
1701 9 M1701I,
1228 7 Y1228C, Y1228F, Y1228H,
1690 11 D1690N, c.5068_5070delGA,
1678 14 N1678S,
1223 8 c.3667delG,
1697 5
1227 7
1222 12 L1222R, p.L1222LfsX7,
1230 14 E1230K,
1674 14 F1674V,
1229 12
390 14
382 14
1696 0
1705 14
1689 13 D1689N,
1700 6
1677 11
1682 13
1224 9
1670 15
1225 10 E1225K, G1225K,
1691 10
1679 11