SCN5A Variant F756C Detail

We estimate the penetrance of LQTS for SCN5A F756C around 15% and the Brugada syndrome penetrance around 33%. SCN5A F756C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F756C is not present in gnomAD. F756C has been functionally characterized in 0 papers. This residue is located in a Hotspot region for Brugada syndrome and a Mild_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 F756C around 15% (0/10) and the Brugada syndrome penetrance around 33% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.962 45 16
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.

F756C has 52 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 14
723 10 I723V,
758 7 G758E,
811 11 c.2435_2436+3delTGGTAinsCGCCT, R811G, R811H,
733 8 F733L,
808 15 R808C, R808P, R808H,
760 6 p.F760SfsX5,
721 14
812 14 L812Q,
759 6 p.I759FfsX6, c.2274delG, I759V,
792 11
764 13 M764K, M764R,
755 4
731 10 T731I,
754 8
726 6
818 14
737 15
720 15
750 11 Q750R,
749 10
788 12 I788V,
724 11 T724I,
793 13 L793F,
728 10 V728I,
762 11
747 14 E747A,
727 8
735 14 A735V, A735T, A735E,
732 11
734 10 M734V, c.2201dupT,
756 0
814 9 R814Q,
722 11
813 15 c.2436+12G>A, c.2437-5C>A,
757 6
817 13 K817E,
761 10
752 5 G752R,
815 13
725 11
763 11 E763D, E763K,
751 8 V751I, V751F,
796 13
736 15 L736P,
785 14 D785N,
730 6 N730K,
789 12 V789I, V789A,
753 6
729 7 p.L729del,
795 14
748 11 M748I,