SCN5A Variant E1804D Detail

We estimate the penetrance of LQTS for SCN5A E1804D around 11% and the Brugada syndrome penetrance around 19%. SCN5A E1804D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1804D is not present in gnomAD. E1804D has been functionally characterized in 0 papers. This residue is located in a Mild_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 (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A E1804D around 11% (0/10) and the Brugada syndrome penetrance around 19% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.479 24 12
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 14 0 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.

E1804D has 31 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,
1798 11 W1798X,
1508 10
1585 15 Y1585C,
1803 4
1849 14 H1849R,
1797 15 I1797V,
1805 5
1507 11 p.Q1507_P1509del,
1806 6 p.Thr1806SerfsX27,
1800 12
1795 14 Y1795C, p.Y1795_E1796insD, Y1795N, Y1795H,
1848 15
1512 12 R1512W, R1512Q, R1512L,
1505 15 p.K1505_Q1507del, K1505N,
1509 7 P1509T,
1808 10
1810 13
1813 14
1510 11
1804 0
1809 11 I1809M,
1801 11
1799 10
1807 10 c.5420dupA,
1506 11 P1506S, P1506T,
1847 12 R1847C, R1847H,
1511 9
1845 15 G1845R,
1802 5
1513 15