SCN5A Variant C1742S Detail

We estimate the penetrance of LQTS for SCN5A C1742S around 6% and the Brugada syndrome penetrance around 32%. SCN5A C1742S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1742S is not present in gnomAD. C1742S 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 C1742S around 6% (0/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.935 42 4
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.

C1742S has 44 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 A1746V, A1746T,
1724 13
1741 5 D1741N, D1741Y, D1741E,
1726 14
1745 10
1675 14
1743 4 G1743R, G1743E,
1723 13 T1723N,
1725 12 P1725L,
1681 10 Y1681F, c.5040_5042delTTAinsC,
1694 14
1737 13 G1737D,
1747 12 V1747M,
1695 14 Q1695X,
1688 14
1684 14 W1684R,
1744 7 S1744I,
1721 11
1742 0
1733 10
1738 10 S1738F, S1738T,
1680 9 A1680P, A1680T,
1727 13
1719 11
1731 5
1728 10 C1728W, C1728Y, C1728R,
1678 11 N1678S,
1300 15
1735 13
1748 13 G1748D, p.G1748del,
1730 9 P1730H, P1730A, P1730L,
1683 7
1718 14 S1718R,
1739 8 R1739Q, R1739W,
1734 11
1677 13
1682 7
1722 8 N1722D,
1729 10 D1729N,
1740 5 G1740R,
1720 10 c.5157delC,
1732 6
1679 11
1685 13