SCN5A Variant S1834I Detail

We estimate the penetrance of LQTS for SCN5A S1834I around 4% and the Brugada syndrome penetrance around 7%. SCN5A S1834I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1834I is not present in gnomAD. S1834I 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 S1834I around 4% (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 0.628 1 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.

S1834I has 41 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
1852 15 D1852V,
1855 14
1826 13 R1826H, R1826C,
1811 12 Y1811N, Y1811X,
1814 10
1816 14 c.5445_5446insT, D1816E, D1816N,
1863 12
1856 10
1825 13 L1825P,
1860 7 c.5577_5578dupAA,
1857 9
1853 12 I1853V,
1837 5
1848 14
1812 15 S1812L, S1812X,
1831 6
1858 14
1828 9 A1828T, A1828S,
1817 13
1829 11
1834 0 S1834R,
1836 6 I1836T,
1813 15
1827 7
1835 4 L1835F,
1839 11 D1839G,
1818 10
1833 5 I1833M,
1819 12 D1819N,
1821 14
1861 13 V1861I, V1861F,
1824 14 P1824A,
1841 14
1838 6
1832 6 Q1832E,
1830 9
1859 12
1840 10
1864 11
1820 15 A1820T, A1820V,
1815 10