SCN5A Variant L1835P Detail

We estimate the penetrance of LQTS for SCN5A L1835P around 6% and the Brugada syndrome penetrance around 9%. SCN5A L1835P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. L1835P is not present in gnomAD. L1835P 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 L1835P around 6% (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 0.979 1 3
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.

L1835P has 49 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 15 C1850S,
1855 13
1814 7
1794 14
1856 9
1853 9 I1853V,
1828 10 A1828T, A1828S,
1834 4 S1834R,
1813 11
1818 8
1833 7 I1833M,
1801 15
1824 15 P1824A,
1838 5
1832 5 Q1832E,
1820 13 A1820T, A1820V,
1811 8 Y1811X, Y1811N,
1863 14
1860 9 c.5577_5578dupAA,
1857 8
1812 11 S1812X, S1812L,
1858 13
1829 10
1835 0 L1835F,
1819 11 D1819N,
1861 14 V1861I, V1861F,
1864 13
1821 12
1815 7
1826 13 R1826C, R1826H,
1854 13
1825 12 L1825P,
1848 11
1817 10
1846 14
1827 7
1839 10 D1839G,
1859 13
1852 12 D1852V,
1816 11 D1816E, c.5445_5446insT, D1816N,
1842 12 M1842V, M1842T, M1842L,
1837 7
1831 5
1810 13
1836 5 I1836T,
1809 12 I1809M,
1841 11
1830 10
1840 7