SCN5A Variant T1894S Detail

We estimate the penetrance of LQTS for SCN5A T1894S around 4% and the Brugada syndrome penetrance around 23%. SCN5A T1894S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1894S is not present in gnomAD. T1894S has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 T1894S around 4% (0/10) and the Brugada syndrome penetrance around 23% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.724 28 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 13 0 2 - -
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.

T1894S 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
1879 15
1880 14 M1880V,
1881 14
1882 13
1883 13
1884 12 P1884L,
1885 11
1886 11
1887 10
1888 9
1889 8 Y1889C,
1890 8 E1890K,
1891 7
1892 5
1893 4 c.5676delC,
1894 0
1895 4 T1895I,
1896 5 L1896P, p.L1896PfsX47,
1897 7 R1897W, R1897Q, R1897Y,
1898 8 R1898H, R1898C,
1899 8
1900 9
1901 10 E1901K, E1901Q,
1902 11 E1902A,
1903 11 V1903M,
1904 12 S1904L,
1905 13
1906 13 M1906V, M1906T,
1907 14
1908 14 I1908V,
1909 15 Q1909R,