SCN5A Variant Q1832K Detail

We estimate the penetrance of LQTS for SCN5A Q1832K around 3% and the Brugada syndrome penetrance around 7%. SCN5A Q1832K was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Q1832K is not present in gnomAD. Q1832K 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 Q1832K around 3% (0/10) and the Brugada syndrome penetrance around 7% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.294 4 2
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.

Q1832K 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
1811 8 Y1811X, Y1811N,
1814 8
1816 11 c.5445_5446insT, D1816E, D1816N,
1856 14
1860 13 c.5577_5578dupAA,
1857 13
1842 13 M1842L, M1842V, M1842T,
1853 14 I1853V,
1837 9
1848 13
1812 10 S1812L, S1812X,
1831 5
1828 11 A1828T, A1828S,
1817 13
1829 9
1834 6 S1834R,
1810 13
1836 6 I1836T,
1813 11
1846 14
1827 10
1835 5 L1835F,
1839 14 D1839G,
1818 11
1833 5 I1833M,
1809 14 I1809M,
1819 12 D1819N,
1841 14
1838 10
1832 0 Q1832E,
1830 8
1840 11
1815 7