SCN5A Variant S1996I Detail

We estimate the penetrance of LQTS for SCN5A S1996I around 3% and the Brugada syndrome penetrance around 7%. SCN5A S1996I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1996I is not present in gnomAD. S1996I 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 S1996I around 3% (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 0.536 0 1
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.

S1996I 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
1981 15
1982 14 R1982T,
1983 14 A1983V, A1983G,
1984 13 T1984I,
1985 13 S1985R,
1986 12 D1986G, D1986N,
1987 11 N1987K,
1988 11 L1988R,
1989 10
1990 9 V1990L,
1991 8 R1991Q, R1991W,
1992 8 G1992A,
1993 7
1994 5
1995 4 Y1995X,
1996 0 S1996N, S1996R,
1997 4 H1997R,
1998 5
1999 7
2000 8 D2000Y,
2001 8
2002 9 A2002T,
2003 10 D2003N,
2004 11 p.F2004dup, F2004V, F2004L, F2004I,
2005 11 P2005L, P2005A, P2005S,
2006 12 p.P2006LfsX32, P2006A, P2006T, p.Pro2006del,
2007 13 p.S2007FfsX7,
2008 13 P2008L,
2009 14 D2009E,
2010 14 R2010G,
2011 15