SCN5A Variant G1715D Detail

We estimate the penetrance of LQTS for SCN5A G1715D around 4% and the Brugada syndrome penetrance around 40%. SCN5A G1715D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1715D is not present in gnomAD. G1715D 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 G1715D around 4% (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 0.678 59 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 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.

G1715D has 68 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 13
1715 0
1687 6
1745 14
1756 14 I1756V,
1743 14 G1743E, G1743R,
1711 9 c.5131delG,
1723 14 T1723N,
1707 10
1398 14 V1398M,
1694 12
1411 13
1704 13 L1704H,
1410 13
1706 10 Q1706H,
1716 4 p.L1716SfsX71,
1714 4 D1714G,
376 12 R376H, R376C,
1688 8
1684 12 W1684R,
1423 11 D1423H,
1692 11
1744 13 S1744I,
1721 10
1753 14 T1753A,
1422 14 M1422R,
1693 13
378 14
1418 15
373 13
1712 5 G1712C, G1712S,
379 11
1703 10
1719 6
1709 14 p.T1709del, T1709M, T1709R,
1420 9 G1420P, G1420V, G1420R, G1420D,
1690 15 c.5068_5070delGA, D1690N,
1755 14
1399 10
1713 8
1424 13 I1424V,
1748 12 G1748D, p.G1748del,
1708 15 T1708I,
1683 13
1400 11 V1400I,
1421 14
1718 5 S1718R,
374 14 W374G,
1689 11 D1689N,
1700 15
1717 6 L1717P,
1751 13
1682 13
1752 10
1722 14 N1722D,
1686 5
1749 13 I1749N,
375 9
1691 14
1710 12 S1710L,
1720 9 c.5157delC,
1415 15
1679 13
1685 8
1419 9 K1419E,
1414 10 Q1414H,
1413 14