rs199473165
Variant summary
Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM1PM2PP2PP3_StrongPP5_Moderate
The NM_001099404.2(SCN5A):c.2527A>G(p.Thr843Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. T843T) has been classified as Likely benign.
Frequency
Genomes: not found (cov: 32)
Consequence
SCN5A
NM_001099404.2 missense
NM_001099404.2 missense
Scores
11
6
1
Clinical Significance
Conservation
PhyloP100: 8.02
Genes affected
SCN5A (HGNC:10593): (sodium voltage-gated channel alpha subunit 5) The protein encoded by this gene is an integral membrane protein and tetrodotoxin-resistant voltage-gated sodium channel subunit. This protein is found primarily in cardiac muscle and is responsible for the initial upstroke of the action potential in an electrocardiogram. Defects in this gene have been associated with long QT syndrome type 3 (LQT3), atrial fibrillation, cardiomyopathy, and Brugada syndrome 1, all autosomal dominant cardiac diseases. Alternative splicing results in several transcript variants encoding different isoforms. [provided by RefSeq, May 2022]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 11 ACMG points.
PM1
?
In a helix (size 19) in uniprot entity SCN5A_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in NM_001099404.2
PM2
?
Very rare variant in population databases, with high coverage;
PP2
?
Missense variant where missense usually causes diseases, SCN5A
PP3
?
MetaRNN computational evidence supports a deleterious effect, 0.979
PP5
?
Variant 3-38585951-T-C is Pathogenic according to our data. Variant chr3-38585951-T-C is described in ClinVar as [Pathogenic]. Clinvar id is 67739.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr3-38585951-T-C is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
SCN5A | NM_001099404.2 | c.2527A>G | p.Thr843Ala | missense_variant | 16/28 | ENST00000413689.6 | |
SCN5A | NM_000335.5 | c.2527A>G | p.Thr843Ala | missense_variant | 16/28 | ENST00000423572.7 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
SCN5A | ENST00000413689.6 | c.2527A>G | p.Thr843Ala | missense_variant | 16/28 | 5 | NM_001099404.2 | P4 | |
SCN5A | ENST00000423572.7 | c.2527A>G | p.Thr843Ala | missense_variant | 16/28 | 1 | NM_000335.5 | A1 |
Frequencies
GnomAD3 genomes ? Cov.: 32
GnomAD3 genomes
?
Cov.:
32
GnomAD4 exome Cov.: 36
GnomAD4 exome
Cov.:
36
GnomAD4 genome ? Cov.: 32
GnomAD4 genome
?
Cov.:
32
ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1Other:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Sep 14, 2011 | p.Thr843Ala in the SCN5A gene; published, disease-causing mutation (Berge KE et al. 2008) The A>G nucleotide substitution in exon 16 of the SCN5A gene, results in replacement of the normal Threonine codon (ACA) with an Alanine codon (GCA) at amino acid position 843 in the cardiac sodium voltage-gated channel, type V-a. This missense change is denoted Thr843Ala (aka T843A) at the protein level and c.2527 A>G at the cDNA level. The Thr843Ala mutation in the SCN5A gene has been published previously in association with LQTS. Berge et al. (2008) reported Thr843Ala in a single Norwegian individual referred for LQTS testing and did not observe the mutation in 188 Norwegian control alleles (Berge KE et al. 2008). In addition, the Thr843Ala mutation was not detected in 400 alleles from control individuals of Caucasian and African American ancestry tested at GeneDx, indicating it is not a common benign variant in these populations. Thr843Ala results in a non-conservative amino acid substitution of a polar Threonine with a non-polar Alanine at a residue that is highly conserved across species. Additionally, in silico analysis predicts Thr843Ala is probably damaging to the protein structure/function (Adzhubei IA et al. 2010). Furthermore, mutations at surrounding codons (G840R, I839P, S835L, I848F) have been reported in association with LQTS or Brugada syndrome, further supporting the functional significance of this region of the protein. The variant is found in LQT panel(s). - |
Congenital long QT syndrome Other:1
not provided, no classification provided | literature only | Cardiovascular Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust | - | This variant has been reported as associated with Long QT syndrome in the following publications (PMID:16244680;PMID:18752142). This is a literature report, and does not necessarily reflect the clinical interpretation of the Imperial College / Royal Brompton Cardiovascular Genetics laboratory. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
CardioboostArm
Pathogenic
CardioboostCm
Uncertain
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
Cadd
Uncertain
Dann
Uncertain
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Pathogenic
D
M_CAP
Pathogenic
D
MetaRNN
Pathogenic
D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
D
MutationTaster
Benign
D;D;D;D;D;D;D;D;D;D
PrimateAI
Pathogenic
D
PROVEAN
Pathogenic
D;D;D;D;D;D;D;D;D
REVEL
Pathogenic
Sift
Uncertain
D;D;D;D;D;D;D;D;D
Sift4G
Uncertain
D;D;D;D;D;D;D;D;D
Polyphen
D;D;.;D;.;D;D;.;.
Vest4
MutPred
Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);Loss of catalytic residue at T843 (P = 0.3906);
MVP
MPC
1.1
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at