SCN5A Variant G1863E Detail

We estimate the penetrance of LQTS for SCN5A G1863E around 5% and the Brugada syndrome penetrance around 38%. SCN5A G1863E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1863E is not present in gnomAD. G1863E has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 G1863E around 5% (0/10) and the Brugada syndrome penetrance around 38% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.884 54 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 12 0 3 - -
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.

G1863E 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
1855 12
1785 11
1856 11
1834 12 S1834R,
1866 4
1824 10 P1824A,
1838 11
1872 14 K1872N,
1863 0
1860 6 c.5577_5578dupAA,
1857 11
1874 12
1862 5
1493 14 K1493X, p.K1493del, K1493R,
1867 6
1858 9
1873 15 I1873V,
1865 5
1835 14 L1835F,
1786 12 L1786Q, c.5356_5357delCT, L1786R,
1861 6 V1861I, V1861F,
1864 4
1826 14 R1826H, R1826C,
1870 10 A1870T,
1854 15
1825 11 L1825P,
1877 13 E1877K,
1784 9 E1784K, E1784X,
1827 12
1498 15 M1498T, M1498V, M1498R,
1839 15 D1839G,
1859 7
1869 11
1868 8
1823 13 E1823K, p.E1823HfsX10,
1783 13
1871 13
1837 13
1497 14
1490 14
1494 12