SCN5A Variant C726F Detail

We estimate the penetrance of LQTS for SCN5A C726F around 8% and the Brugada syndrome penetrance around 22%. SCN5A C726F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C726F is not present in gnomAD. C726F has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 C726F around 8% (0/10) and the Brugada syndrome penetrance around 22% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.899 26 6
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 13 0 2 - -
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.

C726F has 47 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
719 10
723 5 I723V,
758 10 G758E,
811 14 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
733 10 F733L,
821 12
760 7 p.F760SfsX5,
721 9
759 7 p.I759FfsX6, c.2274delG, I759V,
792 15
764 13 M764K, M764R,
755 9
731 9 T731I,
754 13
726 0
818 11
720 10
822 15 W822C, W822X,
749 14
788 13 I788V,
724 6 T724I,
762 12
728 6 V728I,
820 14
727 5
735 15 A735V, A735T, A735E,
767 15
732 10
734 12 M734V, c.2201dupT,
756 6
814 10 R814Q,
722 6
757 10
817 10 K817E,
761 12
752 10 G752R,
815 12
725 5
763 10 E763D, E763K,
751 13 V751I, V751F,
785 13 D785N,
730 7 N730K,
789 14 V789I, V789A,
753 11
729 5 p.L729del,
748 15 M748I,
718 13 F718L,