SCN5A Variant V1813I Detail

We estimate the penetrance of LQTS for SCN5A V1813I around 14% and the Brugada syndrome penetrance around 9%. SCN5A V1813I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1813I is not present in gnomAD. V1813I 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 (0 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 V1813I around 14% (0/10) 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 0.325 7 18
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 15 0 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.

V1813I 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 13 C1850S,
1803 12
1814 5
1794 13
1849 14 H1849R,
1806 13 p.Thr1806SerfsX27,
1853 11 I1853V,
1828 14 A1828T, A1828S,
1834 15 S1834R,
1813 0
1818 9
1801 6
1802 10
1832 11 Q1832E,
1820 11 A1820V, A1820T,
1811 7 Y1811X, Y1811N,
1843 14
1857 13
1812 4 S1812X, S1812L,
1829 11
1808 12
1835 11 L1835F,
1804 14
1819 11 D1819N,
1807 15 c.5420dupA,
1821 12
1815 6
1798 10 W1798X,
1797 11 I1797V,
1800 12
1848 9
1817 7
1846 11
1827 13
1799 14
1852 15 D1852V,
1816 5 c.5445_5446insT, D1816E, D1816N,
1842 12 M1842L, M1842T, M1842V,
1831 11
1810 5
1836 15 I1836T,
1809 6 I1809M,
1841 15
1847 11 R1847C, R1847H,
1845 12 G1845R,
1830 15
1840 13