SCN5A Variant G1724E Detail

We estimate the penetrance of LQTS for SCN5A G1724E around 12% and the Brugada syndrome penetrance around 24%. SCN5A G1724E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1724E is not present in gnomAD. G1724E 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 (2 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 G1724E around 12% (0/10) and the Brugada syndrome penetrance around 24% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.655 31 13
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 0 2 - -
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.

G1724E has 34 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 12
1746 13 A1746T, A1746V,
1724 0
1406 14 G1406E, G1406R,
1726 7
739 13
1745 10
1397 10 c.4189delT, c.4190delA,
1743 12 G1743E, G1743R,
1723 4 T1723N,
1725 3 P1725L,
1398 13 V1398M,
1407 12
1396 13
1404 12
1744 12 S1744I,
1721 10
1742 13
1727 9
1719 14
1731 13
1728 6 C1728Y, C1728R, C1728W,
1401 12
1399 10
1748 15 p.G1748del, G1748D,
738 13
1730 13 P1730H, P1730A, P1730L,
740 13 p.N740del,
1400 13 V1400I,
1718 13 S1718R,
1722 6 N1722D,
1749 14 I1749N,
1729 11 D1729N,
1720 14 c.5157delC,