SCN5A Variant S1782G Detail

We estimate the penetrance of LQTS for SCN5A S1782G around 36% and the Brugada syndrome penetrance around 18%. SCN5A S1782G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1782G is not present in gnomAD. S1782G 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 (1 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 S1782G around 36% (1/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.844 18 47
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 1 1 - -
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.

S1782G has 54 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
414 11 M414V,
1785 6
1643 13 I1643L,
1778 6
249 13 K249X,
1652 14 M1652T, M1652R,
1866 15
1824 11 P1824A,
1777 9 V1777L, V1777M,
418 13 E418K,
1492 14
1641 9
1862 12
1639 14 G1639A,
1779 5 T1779M,
1493 9 K1493X, p.K1493del, K1493R,
1858 14
1865 12
1776 10
1787 7 S1787N,
1786 8 L1786R, L1786Q, c.5356_5357delCT,
1648 11
1861 12 V1861I, V1861F,
415 14 A415T,
1649 12 A1649V,
1774 13 N1774D, c.5321_5324dupACTT,
1644 12 R1644C, R1644H, R1644L,
1640 13
1496 12
1825 14 L1825P,
1781 6 E1781D, E1781G,
1789 11
1645 8 T1645M,
1784 8 E1784X, E1784K,
410 14 A410V,
1780 6 E1780G,
1788 11 c.5361_5364delTGAG,
1500 13 p.K1500del,
1791 12
1792 15 D1792Y, D1792V, D1792N,
1823 13 E1823K, p.E1823HfsX10,
1783 4
1775 10 F1775V, p.F1775LfsX15,
1642 10 G1642E,
1497 12
1490 13
1790 10 D1790G, D1790N, p.D1790del,
1494 15
411 14 V411M,
1647 14
1822 14 c.5464-5467delTCTG, c.5464_5467delTCTG,
1646 11
1489 13 E1489D,
1782 0