SCN5A Variant P1963S Detail

We estimate the penetrance of LQTS for SCN5A P1963S around 2% and the Brugada syndrome penetrance around 6%. SCN5A P1963S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1963S is not present in gnomAD. P1963S 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 P1963S around 2% (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 0.296 1 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 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.

P1963S 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
1948 15 I1948V,
1949 14 A1949S, A1949T,
1950 14 Y1950C,
1951 13 V1951M, V1951L,
1952 13
1953 12 p.S1953RfsX84,
1954 11 E1954K,
1955 11 N1955Y,
1956 10
1957 9 S1957P,
1958 8 R1958X, R1958P, R1958Q,
1959 8
1960 7
1961 5
1962 4 P1962L, P1962S,
1963 0 P1963L,
1964 4 S1964F,
1965 5 S1965G, S1965N,
1966 7
1967 8 p.S1967LfsX12,
1968 8 I1968T, I1968V, I1968M, I1968N, I1968S,
1969 9
1970 10 p.S1970_S1972del,
1971 11
1972 11
1973 12 F1973L,
1974 13
1975 13 P1975T,
1976 14 S1976C,
1977 14 Y1977N,
1978 15