SCN5A Variant E1799G Detail

We estimate the penetrance of LQTS for SCN5A E1799G around 29% and the Brugada syndrome penetrance around 13%. SCN5A E1799G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1799G is not present in gnomAD. E1799G 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 (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 E1799G around 29% (1/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.941 8 36
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.

E1799G has 47 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 12 C1850S,
1803 7
1794 10
1525 15 V1525M, V1525A,
1849 15 H1849R,
1806 11 p.Thr1806SerfsX27,
1853 15 I1853V,
1795 8 Y1795N, p.Y1795_E1796insD, Y1795H, Y1795C,
1512 13 R1512W, R1512Q, R1512L,
1813 14
1801 8
1802 6
1511 11
1522 13
1820 12 A1820T, A1820V,
1510 9
1504 13 K1504E,
1523 15 D1523N,
1507 5 p.Q1507_P1509del,
1505 12 K1505N, p.K1505_Q1507del,
1509 5 P1509T,
1808 14
1804 10
1807 12 c.5420dupA,
1526 12 T1526P,
1821 13
1798 7 W1798X,
1585 13 Y1585C,
1854 15
1797 7 I1797V,
1800 5
1793 10 M1793K,
1789 15
1817 11
1796 6
1799 0
1638 15 R1638X, R1638Q,
1791 14
1792 11 D1792Y, D1792V, D1792N,
1508 9
1816 15 D1816N, D1816E, c.5445_5446insT,
1805 8
1528 15
1809 12 I1809M,
1506 8 P1506T, P1506S,
1582 15 L1582P,
1822 15 c.5464-5467delTCTG, c.5464_5467delTCTG,