SCN5A Variant V1951G Detail

We estimate the penetrance of LQTS for SCN5A V1951G around 5% and the Brugada syndrome penetrance around 6%. SCN5A V1951G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1951G is not present in gnomAD. V1951G 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 V1951G around 5% (0/10) and the Brugada syndrome penetrance around 6% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.441 1 5
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.

V1951G 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
1936 15
1937 14 S1937A,
1938 14 E1938K, E1938X,
1939 13 p.E1939_E1943del,
1940 13
1941 12
1942 11 P1942S, P1942H,
1943 11
1944 10 R1944Q, R1944X,
1945 9
1946 8
1947 8
1948 7 I1948V,
1949 5 A1949S, A1949T,
1950 4 Y1950C,
1951 0 V1951L, V1951M,
1952 4
1953 5 p.S1953RfsX84,
1954 7 E1954K,
1955 8 N1955Y,
1956 8
1957 9 S1957P,
1958 10 R1958Q, R1958P, R1958X,
1959 11
1960 11
1961 12
1962 13 P1962L, P1962S,
1963 13 P1963L,
1964 14 S1964F,
1965 14 S1965N, S1965G,
1966 15