SCN5A Variant F942L Detail

We estimate the penetrance of LQTS for SCN5A F942L around 37% and the Brugada syndrome penetrance around 10%. SCN5A F942L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F942L is not present in gnomAD. F942L has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (0 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F942L around 37% (1/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.977 2 47
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 14 1 0 - -
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.

F942L has 58 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 7 L939F,
937 8
839 11 L839P,
842 14
943 6 S943N,
1340 12 V1340I,
1457 14
1472 13 p.N1472del, N1472S,
1461 11 T1461S,
1333 12
1344 14 F1344L, F1344S,
836 13 V836M,
826 14 N826D,
417 13
825 13
934 10
933 14
1471 9
935 10 L935P,
1470 11
1464 7 L1464P, c.4389_4396delCCTCTTTA,
1466 11 c.4396_4397insG,
944 7
830 10
833 11 G833R,
940 7 S940N,
1341 14
1334 14 I1334V,
1468 9 V1468F, V1468A,
831 6
1462 13
420 14
938 5
1474 15
840 15
942 0
1456 14
1459 15 c.4376_4379delTCTT,
834 10 N834D,
827 9
1460 9 F1460L,
837 14
416 13 Y416C,
413 14 A413E, A413T,
941 4 S941N, S941F,
1337 11
936 10
838 12
1465 12 p.F1465_L1480dup,
1467 7
1469 12 I1469V,
1336 13
824 12
829 11
832 8
835 9 S835L, S835A,
828 8 L828V,
1463 11 N1463Y,