SCN5A Variant D1714N Detail

We estimate the penetrance of LQTS for SCN5A D1714N around 4% and the Brugada syndrome penetrance around 53%. SCN5A D1714N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1714N is not present in gnomAD. D1714N 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 (5 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 D1714N around 4% (0/10) and the Brugada syndrome penetrance around 53% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.744 82 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 10 0 5 - -
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.

D1714N 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
1417 10
1406 15 G1406R, G1406E,
1715 4
1687 10
1745 14
1756 12 I1756V,
1711 9 c.5131delG,
1723 14 T1723N,
1707 11
1398 11 V1398M,
1411 9
1407 13
1704 15 L1704H,
1410 10
1706 12 Q1706H,
1716 7 p.L1716SfsX71,
1714 0 D1714G,
376 14 R376H, R376C,
1688 12
1423 9 D1423H,
1692 15
1744 14 S1744I,
1721 10
1753 13 T1753A,
1422 11 M1422R,
1418 12
373 13
1712 6 G1712S, G1712C,
379 14
1703 13
898 14
1412 13 L1412F,
1719 9
1408 13 G1408R,
1709 14 T1709M, T1709R, p.T1709del,
1420 6 G1420D, G1420V, G1420R, G1420P,
1360 14 F1360C,
1755 15
1401 12
1425 14
1399 9
1713 7
1427 14 A1427S, A1427E,
1424 9 I1424V,
1748 12 p.G1748del, G1748D,
1409 14 Y1409C, Y1409X,
1400 8 V1400I,
1421 10
1718 6 S1718R,
374 15 W374G,
1717 5 L1717P,
1751 14
1416 12 c.4245+1G>C, c.4245+2T>A, A1416G, A1416E, c.4245+1G>A,
1760 15
1752 10
1722 14 N1722D,
1686 8
1749 12 I1749N,
375 11
1710 11 S1710L,
1720 10 c.5157delC,
1415 11
1685 11
1419 7 K1419E,
1414 6 Q1414H,
1402 14
1413 10