SCN5A Variant S1976A Detail

We estimate the penetrance of LQTS for SCN5A S1976A around 13% and the Brugada syndrome penetrance around 7%. SCN5A S1976A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1976A is not present in gnomAD. S1976A has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_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 S1976A around 13% (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 0.597 0 15
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.

S1976A 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
1961 15
1962 14 P1962L, P1962S,
1963 14 P1963L,
1964 13 S1964F,
1965 13 S1965N, S1965G,
1966 12
1967 11 p.S1967LfsX12,
1968 11 I1968N, I1968V, I1968M, I1968S, I1968T,
1969 10
1970 9 p.S1970_S1972del,
1971 8
1972 8
1973 7 F1973L,
1974 5
1975 4 P1975T,
1976 0 S1976C,
1977 4 Y1977N,
1978 5
1979 7
1980 8 V1980F,
1981 8
1982 9 R1982T,
1983 10 A1983G, A1983V,
1984 11 T1984I,
1985 11 S1985R,
1986 12 D1986G, D1986N,
1987 13 N1987K,
1988 13 L1988R,
1989 14
1990 14 V1990L,
1991 15 R1991Q, R1991W,