SCN5A Variant F892L Detail

We estimate the penetrance of LQTS for SCN5A F892L around 5% and the Brugada syndrome penetrance around 41%. SCN5A F892L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F892L is not present in gnomAD. F892L 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 F892L around 5% (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 0.937 59 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.

F892L has 74 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 6 I891N, I891T,
880 14
888 6
848 13 I848F,
890 8 I890T,
901 14 E901K, S901L,
919 13
896 6 C896S,
895 5 L895F,
1417 14
842 15
894 7 I894M,
1457 13
1453 12
1455 9
1447 9
1444 13 L1444I,
372 15
1449 13 Y1449C, Y1449S,
1452 11
926 10
1429 15
1450 10
925 14 I925F,
887 9
1451 7 V1451D, V1451L,
934 14
886 11 H886Q, H886P,
1458 11 S1458Y,
851 12 c.2552_2553dupGT, c.2550_2551dupGT, F851L, p.F851CfsX19,
897 9 G897R, G897E,
927 11 N927K, N927S,
852 14
854 11 c.2559delT,
845 14 c.2533delG,
1422 10 M1422R,
857 14 G857D,
1418 9
902 12
892 0 F892I,
881 14
849 12
898 9
893 7 R893H, R893C,
922 10 V922I,
889 6
1420 14 G1420P, G1420V, G1420R, G1420D,
843 12 T843A,
1456 13
930 13 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
1459 9 c.4376_4379delTCTT,
855 14
1425 10
1454 8
1446 15
1424 14 I1424V,
1448 10 I1448L, I1448T,
884 12
878 15 R878L, R878C, R878H,
1421 9
885 11
847 10
846 9 L846R,
1416 12 A1416G, c.4245+2T>A, c.4245+1G>C, c.4245+1G>A, A1416E,
853 11
879 11 W879R,
923 11
883 14
899 13
1415 11
844 15 L844RfsX3,
850 8 c.2549_2550insTG, V850M,
1419 14 K1419E,
931 11