SCN5A Variant A1983P Detail

We estimate the penetrance of LQTS for SCN5A A1983P around 11% and the Brugada syndrome penetrance around 6%. SCN5A A1983P was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1983P is not present in gnomAD. A1983P 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 A1983P around 11% (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 0.39 0 13
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.

A1983P 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
1968 15 I1968N, I1968V, I1968M, I1968S, I1968T,
1969 14
1970 14 p.S1970_S1972del,
1971 13
1972 13
1973 12 F1973L,
1974 11
1975 11 P1975T,
1976 10 S1976C,
1977 9 Y1977N,
1978 8
1979 8
1980 7 V1980F,
1981 5
1982 4 R1982T,
1983 0 A1983G, A1983V,
1984 4 T1984I,
1985 5 S1985R,
1986 7 D1986G, D1986N,
1987 8 N1987K,
1988 8 L1988R,
1989 9
1990 10 V1990L,
1991 11 R1991Q, R1991W,
1992 11 G1992A,
1993 12
1994 13
1995 13 Y1995X,
1996 14 S1996R, S1996N,
1997 14 H1997R,
1998 15