SCN5A Variant T1723P Detail

We estimate the penetrance of LQTS for SCN5A T1723P around 24% and the Brugada syndrome penetrance around 19%. SCN5A T1723P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1723P is not present in gnomAD. T1723P has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (1 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A T1723P around 24% (1/10) and the Brugada syndrome penetrance around 19% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.882 19 29
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 13 1 1 - -
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.

T1723P has 47 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
1403 11
1746 12 A1746V, A1746T,
1724 4
1406 12 G1406E, G1406R,
1715 14
1361 14
1726 9
739 13
1745 9
1397 8 c.4189delT, c.4190delA,
1743 11 G1743R, G1743E,
1723 0 T1723N,
1725 5 P1725L,
1398 10 V1398M,
1411 14
1407 10
1410 12
1747 14 V1747M,
1714 14 D1714G,
1396 12
1404 11
1744 11 S1744I,
1721 7
1742 13
1727 11
1719 11
1408 13 G1408R,
1731 14
1728 9 C1728W, C1728R, C1728Y,
1360 13 F1360C,
1401 9
1399 6
1748 13 G1748D, p.G1748del,
738 14
1683 14
740 15 p.N740del,
1400 10 V1400I,
1718 9 S1718R,
1717 12 L1717P,
1682 15
1722 5 N1722D,
1686 15
1749 12 I1749N,
1729 13 D1729N,
1720 11 c.5157delC,
1685 13
1402 14