SCN5A Variant T1731P Detail

We estimate the penetrance of LQTS for SCN5A T1731P around 2% and the Brugada syndrome penetrance around 21%. SCN5A T1731P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1731P is not present in gnomAD. T1731P has been functionally characterized in 0 papers. This residue is located in a Mild_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 (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 T1731P around 2% (0/10) and the Brugada syndrome penetrance around 21% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.339 28 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 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.

T1731P has 30 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
1727 11
1739 8 R1739Q, R1739W,
1734 9
1737 11 G1737D,
1724 13
1682 12
1741 8 D1741Y, D1741N, D1741E,
1731 0
1728 7 C1728R, C1728W, C1728Y,
1722 11 N1722D,
1744 12 S1744I,
1729 6 D1729N,
1721 14
1726 12
1740 7 G1740R,
1742 5
1735 11
1733 6
1745 13
1720 14 c.5157delC,
1732 5
1736 14
1725 11 P1725L,
1743 8 G1743E, G1743R,
1730 4 P1730A, P1730H, P1730L,
1683 11
1723 14 T1723N,
1738 9 S1738F, S1738T,
1680 14 A1680T, A1680P,
1681 13 Y1681F, c.5040_5042delTTAinsC,