SCN5A Variant P1719L Detail

We estimate the penetrance of LQTS for SCN5A P1719L around 5% and the Brugada syndrome penetrance around 37%. SCN5A P1719L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1719L is not present in gnomAD. P1719L 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 P1719L around 5% (0/10) and the Brugada syndrome penetrance around 37% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.933 52 2
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.

P1719L has 60 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
1746 13 A1746T, A1746V,
1724 14
1741 11 D1741Y, D1741N, D1741E,
1715 6
1687 7
1745 10
1675 14
1743 8 G1743E, G1743R,
1711 14 c.5131delG,
1723 11 T1723N,
1707 13
1725 14 P1725L,
1681 13 Y1681F, c.5040_5042delTTAinsC,
1398 14 V1398M,
1694 10
1704 15 L1704H,
1410 14
1706 14 Q1706H,
1747 12 V1747M,
1716 6 p.L1716SfsX71,
1695 14 Q1695X,
1714 9 D1714G,
1688 6
1684 9 W1684R,
1692 12
1744 8 S1744I,
1721 6
1742 11
1693 11
1699 15
1712 11 G1712C, G1712S,
379 14
1680 12 A1680T, A1680P,
1703 12
1719 0
1420 14 G1420P, G1420V, G1420R, G1420D,
1690 12 c.5068_5070delGA, D1690N,
1678 14 N1678S,
1399 9
1713 12
1748 10 G1748D, p.G1748del,
1683 7
1400 13 V1400I,
1718 4 S1718R,
1689 11 D1689N,
1700 15
1717 6 L1717P,
1751 13
1682 7
1752 11
1722 9 N1722D,
1686 6
1749 12 I1749N,
1740 13 G1740R,
375 14
1691 15
1720 4 c.5157delC,
1679 10
1685 4
1414 14 Q1414H,