SCN5A Variant F810L Detail

We estimate the penetrance of LQTS for SCN5A F810L around 9% and the Brugada syndrome penetrance around 32%. SCN5A F810L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F810L is not present in gnomAD. F810L has been functionally characterized in 0 papers. This residue is located in a 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 F810L around 9% (0/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.893 43 8
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.

F810L 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
1355 14
811 7 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
808 8 R808P, R808C, R808H,
1352 14
1351 10 M1351V, M1351R,
760 14 p.F760SfsX5,
1449 14 Y1449C, Y1449S,
1452 15
812 7 L812Q,
1350 12 I1350T, I1350L,
792 8
791 6 L791F,
731 15 T731I,
806 6 V806M,
1353 15 V1353M,
797 13 G797V,
1348 13 F1348L,
788 8 I788V,
805 9 S805L,
798 11
793 12 L793F,
810 0
734 12 M734V, c.2201dupT,
803 14
814 9 R814Q,
807 5
816 11 F816Y, F816L,
813 6 c.2437-5C>A, c.2436+12G>A,
757 13
786 13
1354 11
817 14 K817E,
809 4
815 11
790 10
784 11 F784L,
796 12
785 13 D785N,
730 14 N730K,
789 11 V789I, V789A,
753 13
1347 12
795 8
799 13
787 9
794 9
804 11