SCN5A Variant S1972A Detail

We estimate the penetrance of LQTS for SCN5A S1972A around 4% and the Brugada syndrome penetrance around 6%. SCN5A S1972A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1972A is not present in gnomAD. S1972A 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 S1972A around 4% (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 0.375 1 3
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.

S1972A 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
1957 15 S1957P,
1958 14 R1958X, R1958P, R1958Q,
1959 14
1960 13
1961 13
1962 12 P1962S, P1962L,
1963 11 P1963L,
1964 11 S1964F,
1965 10 S1965N, S1965G,
1966 9
1967 8 p.S1967LfsX12,
1968 8 I1968N, I1968S, I1968M, I1968V, I1968T,
1969 7
1970 5 p.S1970_S1972del,
1971 4
1972 0
1973 4 F1973L,
1974 5
1975 7 P1975T,
1976 8 S1976C,
1977 8 Y1977N,
1978 9
1979 10
1980 11 V1980F,
1981 11
1982 12 R1982T,
1983 13 A1983V, A1983G,
1984 13 T1984I,
1985 14 S1985R,
1986 14 D1986G, D1986N,
1987 15 N1987K,