SCN5A Variant C1172F Detail

We estimate the penetrance of LQTS for SCN5A C1172F around 21% and the Brugada syndrome penetrance around 8%. SCN5A C1172F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1172F is not present in gnomAD. C1172F has been functionally characterized in 0 papers. This residue is located in a Non_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 (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 C1172F around 21% (1/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.818 0 25
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.

C1172F has 31 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
1157 15
1158 14 G1158S,
1159 14
1160 13
1161 13 c.3480delT,
1162 12
1163 11 D1163E, D1163G, D1163Y,
1164 11 P1164T,
1165 10 p.E1165RfsX6, E1165D, E1165Q,
1166 9 D1166N,
1167 8 C1167Y,
1168 8 F1168L,
1169 7 T1169I,
1170 5
1171 4 c.3511+10C>T,
1172 0
1173 4 V1173D,
1174 5 R1174G, R1174W,
1175 7 R1175H,
1176 8
1177 8 P1177L,
1178 9 C1178Y,
1179 10
1180 11 A1180V,
1181 11 V1181M, V1181L, V1181A,
1182 12
1183 13 T1183I,
1184 13
1185 14 c.3553_3554delCA,
1186 14 A1186T,
1187 15 P1187Q,