SCN5A Variant I890F Detail

We estimate the penetrance of LQTS for SCN5A I890F around 4% and the Brugada syndrome penetrance around 38%. SCN5A I890F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I890F is not present in gnomAD. I890F 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 I890F around 4% (0/10) and the Brugada syndrome penetrance around 38% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.967 52 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 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.

I890F has 79 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 5 I891N, I891T,
880 8
888 7
856 12 V856L,
890 0 I890T,
901 10 S901L, E901K,
919 8
862 12
896 11 C896S,
859 14
895 10 L895F,
1426 14
894 7 I894M,
1447 11
1444 13 L1444I,
372 14
1440 15 W1440X,
926 14
1429 15
1450 15
904 14 W904X,
887 5
1451 13 V1451L, V1451D,
864 15
886 7 H886Q, H886P,
851 13 p.F851CfsX19, c.2550_2551dupGT, c.2552_2553dupGT, F851L,
897 11 G897R, G897E,
909 14
1423 15 D1423H,
927 14 N927K, N927S,
852 13
854 8 c.2559delT,
876 13
1422 10 M1422R,
857 9 G857D,
1418 14
902 6
882 12
892 8 F892I,
881 7
849 14
898 10
893 6 R893H, R893C,
921 14
922 10 V922I,
860 13 p.L860fsx89,
920 14
889 5
900 12
858 10 M858L,
918 11
855 11
1425 12
865 11
1454 15
916 14
1448 15 I1448T, I1448L,
884 10
906 10
910 15 S910L,
878 11 R878C, R878L, R878H,
1421 12
885 10
847 14
846 14 L846R,
903 11 p.M903CfsX29,
853 10
877 10
879 7 W879R,
923 12
883 10
905 10
915 11 C915R,
899 11
850 10 V850M, c.2549_2550insTG,
908 15
914 15
861 10 c.2582_2583delTT, p.F861WfsX90,
907 14