SCN5A Variant F919L Detail

We estimate the penetrance of LQTS for SCN5A F919L around 5% and the Brugada syndrome penetrance around 31%. SCN5A F919L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F919L is not present in gnomAD. F919L 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 F919L around 5% (0/10) and the Brugada syndrome penetrance around 31% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.888 40 2
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.

F919L has 73 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
364 15
891 7 I891T, I891N,
880 14
888 13
856 11 V856L,
890 8 I890T,
901 11 S901L, E901K,
919 0
862 13
363 12
896 13 C896S,
859 15
895 11 L895F,
360 15
894 6 I894M,
372 12
926 12
928 14 L928P,
925 11 I925F,
904 10 W904X,
366 12
887 11
864 15
886 15 H886P, H886Q,
897 11 G897R, G897E,
924 11 V924I,
909 13
927 12 N927S, N927K,
852 13
854 11 c.2559delT,
857 9 G857D,
902 7
892 13 F892I,
373 14
881 10
849 13
898 11
893 10 R893C, R893H,
921 7
922 6 V922I,
860 11 p.L860fsx89,
362 15
911 13 G911E,
920 6
889 13
900 9
858 13 M858L,
918 4
855 13
917 7 L917R, L917V,
865 13
913 11
916 7
912 12 Q912R,
906 8
910 12 S910L,
350 15 H350Q,
903 5 p.M903CfsX29,
367 13 R367H, R367L, R367C,
853 9
370 13 T370M,
879 14 W879R,
923 8
905 11
352 14 Y352C,
915 6 C915R,
899 7
850 12 c.2549_2550insTG, V850M,
908 13
914 9
861 9 c.2582_2583delTT, p.F861WfsX90,
220 15 T220I,
907 9