SCN5A Variant A1911S Detail

We estimate the penetrance of LQTS for SCN5A A1911S around 11% and the Brugada syndrome penetrance around 10%. SCN5A A1911S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1911S is not present in gnomAD. A1911S has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_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 A1911S around 11% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.753 5 12
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.

A1911S 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
1896 15 p.L1896PfsX47, L1896P,
1897 14 R1897Y, R1897Q, R1897W,
1898 14 R1898C, R1898H,
1899 13
1900 13
1901 12 E1901K, E1901Q,
1902 11 E1902A,
1903 11 V1903M,
1904 10 S1904L,
1905 9
1906 8 M1906V, M1906T,
1907 8
1908 7 I1908V,
1909 5 Q1909R,
1910 4 R1910K,
1911 0
1912 4
1913 5 R1913C, R1913H, R1913S,
1914 7 R1914G,
1915 8 H1915Q, H1915Y, H1915P, H1915N,
1916 8
1917 9
1918 10
1919 11 R1919C, R1919H,
1920 11 S1920C,
1921 12
1922 13 K1922R, K1922N,
1923 13 H1923D, H1923Y,
1924 14 A1924T,
1925 14 p.S1925CfsX20, S1925F,
1926 15