SCN5A Variant A1805S Detail

We estimate the penetrance of LQTS for SCN5A A1805S around 9% and the Brugada syndrome penetrance around 22%. SCN5A A1805S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1805S is not present in gnomAD. A1805S has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (2 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 A1805S around 9% (0/10) and the Brugada syndrome penetrance around 22% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.902 25 7
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 0 2 - -
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.

A1805S has 33 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 10 C1850S,
1803 7
1794 13
1849 11 H1849R,
1806 4 p.Thr1806SerfsX27,
1853 15 I1853V,
1795 10 Y1795H, p.Y1795_E1796insD, Y1795C, Y1795N,
1801 12
1511 11
1802 5
1510 12
1504 13 K1504E,
1851 13 M1851I, M1851V,
1507 8 p.Q1507_P1509del,
1505 10 p.K1505_Q1507del, K1505N,
1509 7 P1509T,
1808 9
1804 5
1807 6 c.5420dupA,
1798 8 W1798X,
1585 14 Y1585C,
1797 13 I1797V,
1800 12
1848 14
1817 15
1796 13
1799 8
1508 7
1805 0
1810 14
1809 11 I1809M,
1506 6 P1506T, P1506S,
1847 12 R1847C, R1847H,