SCN5A Variant S1920A Detail

We estimate the penetrance of LQTS for SCN5A S1920A around 3% and the Brugada syndrome penetrance around 11%. SCN5A S1920A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1920A is not present in gnomAD. S1920A 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 S1920A around 3% (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 0.661 7 0
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.

S1920A 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
1905 15
1906 14 M1906T, M1906V,
1907 14
1908 13 I1908V,
1909 13 Q1909R,
1910 12 R1910K,
1911 11
1912 11
1913 10 R1913H, R1913S, R1913C,
1914 9 R1914G,
1915 8 H1915Q, H1915Y, H1915N, H1915P,
1916 8
1917 7
1918 5
1919 4 R1919C, R1919H,
1920 0 S1920C,
1921 4
1922 5 K1922R, K1922N,
1923 7 H1923Y, H1923D,
1924 8 A1924T,
1925 8 S1925F, p.S1925CfsX20,
1926 9
1927 10 L1927P,
1928 11 F1928V,
1929 11 R1929C, R1929H,
1930 12 Q1930H,
1931 13
1932 13 A1932V,
1933 14 G1933D, G1933V, G1933A,
1934 14
1935 15 G1935S,