SCN5A Variant S1969P Detail

We estimate the penetrance of LQTS for SCN5A S1969P around 3% and the Brugada syndrome penetrance around 7%. SCN5A S1969P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1969P is not present in gnomAD. S1969P 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 S1969P around 3% (0/10) and the Brugada syndrome penetrance around 7% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.44 3 1
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.

S1969P 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
1954 15 E1954K,
1955 14 N1955Y,
1956 14
1957 13 S1957P,
1958 13 R1958P, R1958Q, R1958X,
1959 12
1960 11
1961 11
1962 10 P1962L, P1962S,
1963 9 P1963L,
1964 8 S1964F,
1965 8 S1965N, S1965G,
1966 7
1967 5 p.S1967LfsX12,
1968 4 I1968S, I1968N, I1968V, I1968M, I1968T,
1969 0
1970 4 p.S1970_S1972del,
1971 5
1972 7
1973 8 F1973L,
1974 8
1975 9 P1975T,
1976 10 S1976C,
1977 11 Y1977N,
1978 11
1979 12
1980 13 V1980F,
1981 13
1982 14 R1982T,
1983 14 A1983G, A1983V,
1984 15 T1984I,