SCN5A Variant F884L Detail

We estimate the penetrance of LQTS for SCN5A F884L around 4% and the Brugada syndrome penetrance around 41%. SCN5A F884L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F884L is not present in gnomAD. F884L 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 (4 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 F884L around 4% (0/10) and the Brugada syndrome penetrance around 41% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.977 58 1
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 11 0 4 - -
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.

F884L has 57 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
891 10 I891N, I891T,
880 11
888 6
154 14 P154L,
848 13 I848F,
223 12 V223L,
856 11 V856L,
890 10 I890T,
862 12
859 12
1445 13 Y1445H,
894 15 I894M,
1447 10
1444 11 L1444I,
153 12
149 6
147 12
887 5
1451 13 V1451D, V1451L,
142 15
886 8 H886Q, H886P,
851 7 c.2552_2553dupGT, c.2550_2551dupGT, F851L, p.F851CfsX19,
852 11
854 6 c.2559delT,
222 15 R222Q, R222L, R222X,
857 10 G857D,
150 10
882 10
892 12 F892I,
881 9
849 14
226 14 A226V, A226G,
860 14 p.L860fsx89,
889 8
858 7 M858L,
144 13
855 7
865 14
1446 15
148 9
1448 12 I1448L, I1448T,
884 0
885 5
146 10 V146A, V146M,
847 12
846 15 L846R,
1441 15 E1441Q,
152 8 D152N,
853 11
219 15 R219H, p.R219HfsX11, R219C, c.656_657insATTCA,
151 10
879 13 W879R,
883 6
850 10 c.2549_2550insTG, V850M,
145 10
861 14 p.F861WfsX90, c.2582_2583delTT,
220 15 T220I,