SCN5A Variant F885L Detail

We estimate the penetrance of LQTS for SCN5A F885L around 4% and the Brugada syndrome penetrance around 39%. SCN5A F885L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F885L is not present in gnomAD. F885L 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 F885L around 4% (0/10) and the Brugada syndrome penetrance around 39% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.754 55 0
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.

F885L has 55 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 12 I891N, I891T,
880 10
888 7
154 15 P154L,
856 15 V856L,
890 10 I890T,
862 15
1426 15
1445 9 Y1445H,
1447 6
1444 6 L1444I,
153 12
1440 13 W1440X,
149 9
1449 15 Y1449C, Y1449S,
1452 14
1429 11
1442 14 Y1442C, Y1442N,
1450 13
887 7
1451 11 V1451D, V1451L,
886 6 H886Q, H886P,
851 11 c.2552_2553dupGT, c.2550_2551dupGT, F851L, p.F851CfsX19,
852 15
854 10 c.2559delT,
1422 15 M1422R,
857 13 G857D,
150 11
882 11
892 11 F892I,
881 11
893 15 R893H, R893C,
889 7
858 11 M858L,
855 11
1425 12
1446 11
148 13
1448 9 I1448L, I1448T,
884 5
878 14 R878L, R878C, R878H,
885 0
146 13 V146A, V146M,
847 14
1443 11 N1443S,
1441 11 E1441Q,
152 9 D152N,
853 15
877 15
151 13
879 11 W879R,
883 6
1428 14 A1428S, A1428V,
850 12 c.2549_2550insTG, V850M,
145 14