SCN5A Variant H1900N Detail

We estimate the penetrance of LQTS for SCN5A H1900N around 5% and the Brugada syndrome penetrance around 11%. SCN5A H1900N was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. H1900N is not present in gnomAD. H1900N 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 (1 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 H1900N around 5% (0/10) and the Brugada syndrome penetrance around 11% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.568 7 4
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 14 0 1 - -
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.

H1900N 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
1885 15
1886 14
1887 14
1888 13
1889 13 Y1889C,
1890 12 E1890K,
1891 11
1892 11
1893 10 c.5676delC,
1894 9
1895 8 T1895I,
1896 8 L1896P, p.L1896PfsX47,
1897 7 R1897W, R1897Q, R1897Y,
1898 5 R1898H, R1898C,
1899 4
1900 0
1901 4 E1901K, E1901Q,
1902 5 E1902A,
1903 7 V1903M,
1904 8 S1904L,
1905 8
1906 9 M1906V, M1906T,
1907 10
1908 11 I1908V,
1909 11 Q1909R,
1910 12 R1910K,
1911 13
1912 13
1913 14 R1913H, R1913S, R1913C,
1914 14 R1914G,
1915 15 H1915P, H1915Y, H1915N, H1915Q,