SCN5A Variant K1800T Detail

We estimate the penetrance of LQTS for SCN5A K1800T around 27% and the Brugada syndrome penetrance around 13%. SCN5A K1800T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. K1800T is not present in gnomAD. K1800T 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 K1800T around 27% (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 0.823 10 35
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.

K1800T has 43 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 14 C1850S,
1803 8
1814 14
1794 10
1525 15 V1525A, V1525M,
1806 14 p.Thr1806SerfsX27,
1795 10 Y1795H, Y1795C, p.Y1795_E1796insD, Y1795N,
1512 14 R1512L, R1512W, R1512Q,
1813 12
1818 12
1801 5
1511 14
1802 8
1522 14
1820 9 A1820T, A1820V,
1510 12
1523 14 D1523N,
1527 15 K1527R,
1507 10 p.Q1507_P1509del,
1509 9 P1509T,
1804 12
1819 13 D1819N,
1526 11 T1526P,
1815 14
1821 11
1798 8 W1798X,
1826 15 R1826C, R1826H,
1797 5 I1797V,
1800 0
1793 10 M1793K,
1817 9
1796 7
1799 5
1638 14 R1638X, R1638Q,
1792 13 D1792N, D1792Y, D1792V,
1508 13
1816 11 D1816N, D1816E, c.5445_5446insT,
1805 12
1810 15
1528 12
1809 12 I1809M,
1506 12 P1506T, P1506S,
1822 13 c.5464_5467delTCTG, c.5464-5467delTCTG,