SCN5A Variant D1792H Detail

We estimate the penetrance of LQTS for SCN5A D1792H around 15% and the Brugada syndrome penetrance around 9%. SCN5A D1792H was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1792H is not present in gnomAD. D1792H has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (0 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 D1792H around 15% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.892 2 16
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 15 0 0 - -
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.

D1792H has 57 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
1850 13 C1850S,
1785 14
1794 8
1778 14
1853 15 I1853V,
1795 7 Y1795H, Y1795N, p.Y1795_E1796insD, Y1795C,
1635 13
1652 14 M1652T, M1652R,
1634 15 L1634P,
1824 14 P1824A,
1820 14 A1820V, A1820T,
1504 8 K1504E,
1641 12
1851 14 M1851I, M1851V,
1501 12 L1501V, p.L1501_K1505del,
1857 15
1639 14 G1639A,
1507 9 p.Q1507_P1509del,
1505 12 p.K1505_Q1507del, K1505N,
1858 13
1509 15 P1509T,
1787 8 S1787N,
1786 10 c.5356_5357delCT, L1786R, L1786Q,
1648 10
1649 14 A1649V,
1821 12
1644 10 R1644L, R1644H, R1644C,
1798 12 W1798X,
1496 15
1854 11
1825 11 L1825P,
1797 10 I1797V,
1800 13
1793 6 M1793K,
1781 14 E1781G, E1781D,
1789 5
1817 14
1645 12 T1645M,
1796 6
1799 11
1788 5 c.5361_5364delTGAG,
1638 9 R1638X, R1638Q,
1651 12
1500 10 p.K1500del,
1791 6
1637 13
1792 0 D1792V, D1792Y, D1792N,
1823 15 E1823K, p.E1823HfsX10,
1508 14
1502 13 G1502S, G1502A,
1497 13
1790 7 D1790G, D1790N, p.D1790del,
1506 11 P1506S, P1506T,
1647 14
1503 11 S1503Y,
1822 11 c.5464-5467delTCTG, c.5464_5467delTCTG,
1782 15