SCN5A Variant K1829M Detail

We estimate the penetrance of LQTS for SCN5A K1829M around 10% and the Brugada syndrome penetrance around 10%. SCN5A K1829M was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. K1829M is not present in gnomAD. K1829M 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 K1829M around 10% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.956 2 9
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.

K1829M has 29 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 14 p.E1823HfsX10, E1823K,
1826 10 R1826C, R1826H,
1811 14 Y1811X, Y1811N,
1814 10
1816 7 D1816N, D1816E, c.5445_5446insT,
1825 14 L1825P,
1860 14 c.5577_5578dupAA,
1797 15 I1797V,
1857 14
1812 12 S1812L, S1812X,
1831 5
1828 5 A1828S, A1828T,
1817 11
1829 0
1834 11 S1834R,
1836 14 I1836T,
1813 11
1827 8
1835 10 L1835F,
1818 8
1833 11 I1833M,
1819 5 D1819N,
1801 14
1821 11
1832 9 Q1832E,
1830 5
1822 14 c.5464-5467delTCTG, c.5464_5467delTCTG,
1820 9 A1820V, A1820T,
1815 6