SCN5A Variant A1828D Detail

We estimate the penetrance of LQTS for SCN5A A1828D around 7% and the Brugada syndrome penetrance around 8%. SCN5A A1828D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1828D is not present in gnomAD. A1828D has been functionally characterized in 0 papers. This residue is located in a Non_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 (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 A1828D around 7% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.824 1 5
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.

A1828D has 34 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
1823 10 p.E1823HfsX10, E1823K,
1826 6 R1826H, R1826C,
1814 11
1816 10 c.5445_5446insT, D1816E, D1816N,
1794 15
1856 15
1825 10 L1825P,
1860 10 c.5577_5578dupAA,
1857 11
1797 14 I1797V,
1853 15 I1853V,
1837 14
1831 6
1828 0 A1828T, A1828S,
1817 11
1829 5
1834 9 S1834R,
1836 14 I1836T,
1813 14
1827 4
1835 10 L1835F,
1818 7
1833 11 I1833M,
1819 5 D1819N,
1821 9
1861 13 V1861I, V1861F,
1824 11 P1824A,
1838 13
1832 11 Q1832E,
1830 6
1822 10 c.5464-5467delTCTG, c.5464_5467delTCTG,
1864 12
1820 9 A1820V, A1820T,
1815 8