SCN5A Variant W1713R Detail

We estimate the penetrance of LQTS for SCN5A W1713R around 5% and the Brugada syndrome penetrance around 49%. SCN5A W1713R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. W1713R is not present in gnomAD. W1713R 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 W1713R around 5% (0/10) and the Brugada syndrome penetrance around 49% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.971 73 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.

W1713R has 77 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
1417 7
1757 11
1715 8
1687 12
1413 9
372 14
1756 6 I1756V,
1764 13 c.5290delG, V1764F,
371 13 Q371E,
1711 5 c.5131delG,
1754 11
1707 5
1694 14
1411 12
1704 10 L1704H,
1458 14 S1458Y,
1410 11
1706 8 Q1706H,
1747 15 V1747M,
1716 7 p.L1716SfsX71,
1714 7 D1714G,
376 15 R376H, R376C,
1688 14
1671 13
897 15 G897R, G897E,
1762 14 I1762M, p.I1762del,
1423 15 D1423H,
1668 14 M1668T,
1692 14
1721 13
1753 9 T1753A,
1422 15 M1422R,
378 14
1418 10
373 12
1712 5 G1712C, G1712S,
379 14
1703 10
898 14
1462 13
1412 13 L1412F,
1759 10 S1759C,
1719 12
1709 8 p.T1709del, T1709M, T1709R,
1420 10 G1420P, G1420V, G1420R, G1420D,
1758 12 p.I1758del, I1758V,
1755 8
1713 0
1424 14 I1424V,
1748 11 G1748D, p.G1748del,
1708 8 T1708I,
1409 14 Y1409X, Y1409C,
1400 13 V1400I,
1421 12
1718 11 S1718R,
374 12 W374G,
1705 12
1700 14
1717 7 L1717P,
1763 15 V1763L, V1763M,
1751 10
1416 10 A1416G, c.4245+2T>A, c.4245+1G>C, c.4245+1G>A, A1416E,
1760 8
1750 13 L1750F,
1752 6
1761 11 c.5280delG, L1761H, L1761F,
1749 11 I1749N,
1686 13
375 10
1710 5 S1710L,
1720 12 c.5157delC,
1415 11
1679 14
1419 7 K1419E,
1667 15 V1667I,
1414 7 Q1414H,