SCN5A Variant F934L Detail

We estimate the penetrance of LQTS for SCN5A F934L around 14% and the Brugada syndrome penetrance around 41%. SCN5A F934L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F934L is not present in gnomAD. F934L has been functionally characterized in 0 papers. This residue is located in a Hotspot region for Brugada syndrome and a Mild_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 F934L around 14% (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 0.868 59 14
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.

F934L has 78 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
939 9 L939F,
896 13 C896S,
937 5
895 12 L895F,
1765 15
839 7 L839P,
842 7
943 15 S943N,
1457 11
1453 15
240 15 V240M,
1455 9
1452 15
1461 10 T1461S,
926 11
409 11 L409P, L409V,
928 13 L928P,
925 14 I925F,
836 13 V836M,
1451 15 V1451L, V1451D,
417 14
934 0
1458 10 S1458Y,
933 6
246 14
935 5 L935P,
412 11 V412D,
1470 14
1464 9 c.4389_4396delCCTCTTTA, L1464P,
927 11 N927S, N927K,
1466 11 c.4396_4397insG,
845 11 c.2533delG,
833 14 G833R,
415 14 A415T,
892 14 F892I,
1768 15 I1768V,
940 10 S940N,
849 14
1468 14 V1468F, V1468A,
831 13
1462 11
420 14
938 5
840 10
942 10
843 8 T843A,
1456 11
930 7 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
1459 7 c.4376_4379delTCTT,
834 15 N834D,
1460 7 F1460L,
837 12
239 11 I239V, I239V ,
1454 12
410 14 A410V,
242 13 A242D,
929 11
416 10 Y416C,
413 11 A413E, A413T,
841 11 N841K, p.N841TfsX2,
408 15
847 13
941 10 S941F, S941N,
846 10 L846R,
936 6
238 13
1416 15 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
838 9
1467 11
1465 13 p.F1465_L1480dup,
844 12 L844RfsX3,
243 13
932 8
832 12
835 10 S835A, S835L,
828 14 L828V,
931 6
1463 7 N1463Y,