SCN5A Variant I1707N Detail

We estimate the penetrance of LQTS for SCN5A I1707N around 6% and the Brugada syndrome penetrance around 41%. SCN5A I1707N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I1707N is not present in gnomAD. I1707N 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 I1707N around 6% (0/10) and the Brugada syndrome penetrance around 41% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.964 58 3
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.

I1707N has 78 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 10
1417 12
1757 12
1715 10
1687 12
1413 14
1698 14 A1698T,
1756 8 I1756V,
1675 12
1764 12 c.5290delG, V1764F,
1666 15
371 12 Q371E,
1711 6 c.5131delG,
1754 11
1707 0
1694 11
1704 5 L1704H,
1706 5 Q1706H,
1716 7 p.L1716SfsX71,
1714 11 D1714G,
1688 13
1669 14
1671 10
1762 14 I1762M, p.I1762del,
1668 9 M1668T,
1676 14 M1676T, M1676I,
1692 11
1721 15
1753 11 T1753A,
1672 11 S1672Y,
1693 13
378 11
1699 13
1418 15
402 14 F402L,
1665 14
373 13
1712 7 G1712S, G1712C,
379 12
1703 6
1663 15
397 13 I397T, I397F, I397V,
1759 8 S1759C,
1719 13
1709 7 T1709R, p.T1709del, T1709M,
1701 10 M1701I,
1420 14 G1420R, G1420D, G1420V, G1420P,
1758 11 p.I1758del, I1758V,
1755 6
393 14
1674 14 F1674V,
1713 5
390 14
394 14
1748 12 p.G1748del, G1748D,
1708 5 T1708I,
1718 14 S1718R,
374 10 W374G,
1705 7
1700 10
1717 10 L1717P,
1763 13 V1763L, V1763M,
1751 9
1760 9
1750 14 L1750F,
1752 7
1670 13
1761 12 L1761H, L1761F, c.5280delG,
1749 14 I1749N,
1686 14
375 10
1710 7 S1710L,
1720 12 c.5157delC,
1679 13
1419 11 K1419E,
1667 11 V1667I,
1414 12 Q1414H,
1664 11