SCN5A Variant S1710A Detail

We estimate the penetrance of LQTS for SCN5A S1710A around 7% and the Brugada syndrome penetrance around 40%. SCN5A S1710A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1710A is not present in gnomAD. S1710A 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 (3 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 S1710A around 7% (0/10) and the Brugada syndrome penetrance around 40% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.928 56 4
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 0 3 - -
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.

S1710A has 73 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 15
896 13 C896S,
1417 6
1765 12
1757 12
1715 12
1687 15
1413 11
372 11
401 13 S401P,
1756 8 I1756V,
1764 10 V1764F, c.5290delG,
371 8 Q371E,
1711 4 c.5131delG,
1754 13
1707 7
1411 15
1704 11 L1704H,
1458 12 S1458Y,
1410 15
1706 8 Q1706H,
1716 11 p.L1716SfsX71,
1714 11 D1714G,
376 14 R376H, R376C,
897 11 G897E, G897R,
1762 13 p.I1762del, I1762M,
1668 14 M1668T,
1753 12 T1753A,
1422 15 M1422R,
378 13
1418 9
402 12 F402L,
373 10
1768 15 I1768V,
1712 7 G1712S, G1712C,
379 14
1703 12
898 11
893 15 R893H, R893C,
397 12 I397V, I397T, I397F,
405 15
1462 11
1759 9 S1759C,
1709 4 T1709R, p.T1709del, T1709M,
1420 11 G1420D, G1420P, G1420V, G1420R,
1758 12 p.I1758del, I1758V,
1755 9
393 15
1713 5
1708 7 T1708I,
1421 12
374 9 W374G,
1705 11
1717 12 L1717P,
367 14 R367L, R367C, R367H,
1763 13 V1763M, V1763L,
1751 14
1416 10 c.4245+2T>A, A1416G, c.4245+1G>C, A1416E, c.4245+1G>A,
1465 14 p.F1465_L1480dup,
1760 6
370 12 T370M,
1752 10
1761 10 L1761F, c.5280delG, L1761H,
375 9
368 13
1710 0 S1710L,
1415 12
377 15
1419 6 K1419E,
1667 15 V1667I,
1414 9 Q1414H,
1664 13
1463 14 N1463Y,