SCN5A Variant G1992W Detail

We estimate the penetrance of LQTS for SCN5A G1992W around 4% and the Brugada syndrome penetrance around 5%. SCN5A G1992W was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G1992W is not present in gnomAD. G1992W 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 G1992W around 4% (0/10) and the Brugada syndrome penetrance around 5% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.334 0 4
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.

G1992W 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
1977 15 Y1977N,
1978 14
1979 14
1980 13 V1980F,
1981 13
1982 12 R1982T,
1983 11 A1983V, A1983G,
1984 11 T1984I,
1985 10 S1985R,
1986 9 D1986N, D1986G,
1987 8 N1987K,
1988 8 L1988R,
1989 7
1990 5 V1990L,
1991 4 R1991W, R1991Q,
1992 0 G1992A,
1993 4
1994 5
1995 7 Y1995X,
1996 8 S1996N, S1996R,
1997 8 H1997R,
1998 9
1999 10
2000 11 D2000Y,
2001 11
2002 12 A2002T,
2003 13 D2003N,
2004 13 F2004I, F2004V, p.F2004dup, F2004L,
2005 14 P2005L, P2005S, P2005A,
2006 14 P2006A, P2006T, p.P2006LfsX32, p.Pro2006del,
2007 15 p.S2007FfsX7,