SCN5A Variant T1893I Detail

We estimate the penetrance of LQTS for SCN5A T1893I around 4% and the Brugada syndrome penetrance around 44%. SCN5A T1893I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1893I is not present in gnomAD. T1893I 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 (4 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 T1893I around 4% (0/10) and the Brugada syndrome penetrance around 44% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.891 64 1
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 11 0 4 - -
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.

T1893I has 31 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
1878 15
1879 14
1880 14 M1880V,
1881 13
1882 13
1883 12
1884 11 P1884L,
1885 11
1886 10
1887 9
1888 8
1889 8 Y1889C,
1890 7 E1890K,
1891 5
1892 4
1893 0 c.5676delC,
1894 4
1895 5 T1895I,
1896 7 p.L1896PfsX47, L1896P,
1897 8 R1897W, R1897Q, R1897Y,
1898 8 R1898C, R1898H,
1899 9
1900 10
1901 11 E1901K, E1901Q,
1902 11 E1902A,
1903 12 V1903M,
1904 13 S1904L,
1905 13
1906 14 M1906T, M1906V,
1907 14
1908 15 I1908V,