SCN5A Variant T1971S Detail

We estimate the penetrance of LQTS for SCN5A T1971S around 4% and the Brugada syndrome penetrance around 7%. SCN5A T1971S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. T1971S is not present in gnomAD. T1971S 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 T1971S around 4% (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 0.468 2 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.

T1971S 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
1956 15
1957 14 S1957P,
1958 14 R1958Q, R1958P, R1958X,
1959 13
1960 13
1961 12
1962 11 P1962L, P1962S,
1963 11 P1963L,
1964 10 S1964F,
1965 9 S1965N, S1965G,
1966 8
1967 8 p.S1967LfsX12,
1968 7 I1968N, I1968V, I1968M, I1968S, I1968T,
1969 5
1970 4 p.S1970_S1972del,
1971 0
1972 4
1973 5 F1973L,
1974 7
1975 8 P1975T,
1976 8 S1976C,
1977 9 Y1977N,
1978 10
1979 11
1980 11 V1980F,
1981 12
1982 13 R1982T,
1983 13 A1983G, A1983V,
1984 14 T1984I,
1985 14 S1985R,
1986 15 D1986G, D1986N,