SCN5A Variant L2001R Detail

We estimate the penetrance of LQTS for SCN5A L2001R around 4% and the Brugada syndrome penetrance around 10%. SCN5A L2001R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. L2001R is not present in gnomAD. L2001R 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 L2001R around 4% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.395 7 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.

L2001R 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
1986 15 D1986G, D1986N,
1987 14 N1987K,
1988 14 L1988R,
1989 13
1990 13 V1990L,
1991 12 R1991W, R1991Q,
1992 11 G1992A,
1993 11
1994 10
1995 9 Y1995X,
1996 8 S1996R, S1996N,
1997 8 H1997R,
1998 7
1999 5
2000 4 D2000Y,
2001 0
2002 4 A2002T,
2003 5 D2003N,
2004 7 F2004L, p.F2004dup, F2004I, F2004V,
2005 8 P2005A, P2005S, P2005L,
2006 8 p.Pro2006del, P2006A, p.P2006LfsX32, P2006T,
2007 9 p.S2007FfsX7,
2008 10 P2008L,
2009 11 D2009E,
2010 11 R2010G,
2011 12
2012 13 R2012H, R2012C,
2013 13
2014 14
2015 14
2016 15 V2016L, V2016M,