SCN5A Variant P1959L Detail

We estimate the penetrance of LQTS for SCN5A P1959L around 3% and the Brugada syndrome penetrance around 5%. SCN5A P1959L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1959L is not present in gnomAD. P1959L 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 P1959L around 3% (0/10) and the Brugada syndrome penetrance around 5% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.236 0 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.

P1959L 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
1944 15 R1944Q, R1944X,
1945 14
1946 14
1947 13
1948 13 I1948V,
1949 12 A1949S, A1949T,
1950 11 Y1950C,
1951 11 V1951L, V1951M,
1952 10
1953 9 p.S1953RfsX84,
1954 8 E1954K,
1955 8 N1955Y,
1956 7
1957 5 S1957P,
1958 4 R1958Q, R1958P, R1958X,
1959 0
1960 4
1961 5
1962 7 P1962L, P1962S,
1963 8 P1963L,
1964 8 S1964F,
1965 9 S1965N, S1965G,
1966 10
1967 11 p.S1967LfsX12,
1968 11 I1968N, I1968V, I1968M, I1968S, I1968T,
1969 12
1970 13 p.S1970_S1972del,
1971 13
1972 14
1973 14 F1973L,
1974 15