SCN5A Variant E1773G Detail

We estimate the penetrance of LQTS for SCN5A E1773G around 39% and the Brugada syndrome penetrance around 21%. SCN5A E1773G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1773G is not present in gnomAD. E1773G has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a 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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A E1773G around 39% (1/10) 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 0.97 22 51
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 1 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.

E1773G has 71 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
403 14
414 12 M414V,
939 11 L939F,
1778 10
1480 12 c.4437+5G>A, c.4438-1C>T,
1773 0
1765 13
943 14 S943N,
1653 10
1472 10 N1472S, p.N1472del,
1771 7 I1771T,
1652 10 M1652T, M1652R,
1777 7 V1777L, V1777M,
1487 14 M1487L, M1487K,
409 11 L409V, L409P,
1650 12 L1650F,
1492 13
1656 12
417 13
1477 7 K1477N,
1471 9
935 14 L935P,
1779 11 T1779M,
412 14 V412D,
1493 14 K1493X, p.K1493del, K1493R,
1470 7
1466 11 c.4396_4397insG,
1478 10 K1478E,
1776 6
1767 12 Y1767C,
1660 14 I1660S, I1660V,
1654 14
1648 14
1769 6
1766 11 M1766T, M1766L, M1766V,
415 15 A415T,
1319 15 G1319V,
1649 10 A1649V,
1768 9 I1768V,
940 14 S940N,
1774 5 N1774D, c.5321_5324dupACTT,
1479 14
1473 7 F1473S, F1473C,
1468 13 V1468A, V1468F,
1657 12
1496 14
1474 6
1481 13 G1481R, G1481E, G1481V,
1781 12 E1781D, E1781G,
1772 5 L1772V,
1323 13 V1323G,
410 9 A410V,
1780 11 E1780G,
1770 6 I1770V,
413 11 A413T, A413E,
1482 13
408 15
1322 12 c.3963+4A>G, c.3963+2T>C,
407 12
1326 13 A1326S,
936 13
1467 11
1476 11 Q1476X, Q1476R,
1775 8 F1775V, p.F1775LfsX15,
1655 14
1475 11 p.Q1475NfsX6, Q1475L,
1469 10 I1469V,
406 11 N406S, N406K,
411 13 V411M,
1646 14
1489 12 E1489D,