SCN5A Variant F733C Detail

We estimate the penetrance of LQTS for SCN5A F733C around 10% and the Brugada syndrome penetrance around 30%. SCN5A F733C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F733C is not present in gnomAD. F733C 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 (3 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 F733C around 10% (0/10) and the Brugada syndrome penetrance around 30% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.966 39 9
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 12 0 3 - -
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.

F733C has 50 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
723 15 I723V,
758 14 G758E,
742 14 T742A,
811 10 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
733 0 F733L,
741 13 p.M741_T742delinsI ,
808 13 R808P, R808C, R808H,
745 10
746 12 E746K,
760 13 p.F760SfsX5,
812 13 L812Q,
1350 11 I1350T, I1350L,
759 13 p.I759FfsX6, c.2274delG, I759V,
792 15
755 10
731 7 T731I,
754 11
726 10
818 15
1353 13 V1353M,
737 9
1404 15
750 10 Q750R,
1349 15
749 6
743 15
1346 14 L1346I, L1346P,
724 14 T724I,
728 9 V728I,
747 12 E747A,
727 10
735 7 A735V, A735T, A735E,
732 5
734 6 M734V, c.2201dupT,
756 8
814 11 R814Q,
757 12
1354 13
744 14
738 13
752 6 G752R,
1405 13 V1405M, V1405L,
815 13
725 13
751 9 V751I, V751F,
736 7 L736P,
730 5 N730K,
753 7
729 6 p.L729del,
748 7 M748I,