SCN5A Variant G1743A Detail

We estimate the penetrance of LQTS for SCN5A G1743A around 6% and the Brugada syndrome penetrance around 41%. SCN5A G1743A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1743A is not present in gnomAD. G1743A 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 (4 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 G1743A around 6% (0/10) and the Brugada syndrome penetrance around 41% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.904 60 3
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 11 0 4 - -
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.

G1743A has 55 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 10 A1746V, A1746T,
1724 12
1741 7 D1741N, D1741E, D1741Y,
1715 14
1687 15
1726 15
1745 7
1675 12
1743 0 G1743R, G1743E,
1723 11 T1723N,
1725 11 P1725L,
1681 11 c.5040_5042delTTAinsC, Y1681F,
1694 12
1747 8 V1747M,
1716 13 p.L1716SfsX71,
1695 14 Q1695X,
1688 13
1684 13 W1684R,
1676 14 M1676I, M1676T,
1744 4 S1744I,
1721 7
1742 4
1733 13
1693 14
1738 14 S1738T, S1738F,
1680 9 A1680T, A1680P,
1727 14
1719 8
1731 8
1728 10 C1728W, C1728R, C1728Y,
1678 9 N1678S,
1300 15
1674 15 F1674V,
1399 13
1748 9 G1748D, p.G1748del,
1730 12 P1730H, P1730A, P1730L,
1683 7
1718 11 S1718R,
1739 11 R1739W, R1739Q,
1717 11 L1717P,
1734 14
1751 13
1677 12
1682 6
1750 14 L1750F,
1752 14
1722 6 N1722D,
1686 14
1749 12 I1749N,
1729 12 D1729N,
1740 7 G1740R,
1720 6 c.5157delC,
1732 9
1679 8
1685 11