SCN5A Variant E1902D Detail

We estimate the penetrance of LQTS for SCN5A E1902D around 4% and the Brugada syndrome penetrance around 8%. SCN5A E1902D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1902D is not present in gnomAD. E1902D 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 E1902D around 4% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.662 2 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 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.

E1902D 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
1887 15
1888 14
1889 14 Y1889C,
1890 13 E1890K,
1891 13
1892 12
1893 11 c.5676delC,
1894 11
1895 10 T1895I,
1896 9 p.L1896PfsX47, L1896P,
1897 8 R1897W, R1897Q, R1897Y,
1898 8 R1898C, R1898H,
1899 7
1900 5
1901 4 E1901K, E1901Q,
1902 0 E1902A,
1903 4 V1903M,
1904 5 S1904L,
1905 7
1906 8 M1906T, M1906V,
1907 8
1908 9 I1908V,
1909 10 Q1909R,
1910 11 R1910K,
1911 11
1912 12
1913 13 R1913S, R1913H, R1913C,
1914 13 R1914G,
1915 14 H1915P, H1915Q, H1915N, H1915Y,
1916 14
1917 15