SCN5A Variant S1812P Detail

We estimate the penetrance of LQTS for SCN5A S1812P around 35% and the Brugada syndrome penetrance around 9%. SCN5A S1812P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1812P is not present in gnomAD. S1812P has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a 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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A S1812P around 35% (1/10) 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 0.627 3 47
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 1 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.

S1812P has 35 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
1798 13 W1798X,
1811 5 Y1811X, Y1811N,
1843 14
1814 7
1816 8 c.5445_5446insT, D1816E, D1816N,
1842 11 M1842L, M1842T, M1842V,
1853 14 I1853V,
1848 10
1812 0 S1812L, S1812X,
1831 11
1817 11
1829 12
1834 15 S1834R,
1808 13
1810 4
1836 13 I1836T,
1813 4
1846 8
1827 14
1835 11 L1835F,
1818 12
1833 15 I1833M,
1809 8 I1809M,
1819 13 D1819N,
1801 10
1844 14
1841 14
1802 14
1847 11 R1847C, R1847H,
1845 11 G1845R,
1832 10 Q1832E,
1830 15
1840 13
1820 14 A1820V, A1820T,
1815 7