SCN5A Variant F1213L Detail

We estimate the penetrance of LQTS for SCN5A F1213L around 17% and the Brugada syndrome penetrance around 18%. SCN5A F1213L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1213L is not present in gnomAD. F1213L has been functionally characterized in 0 papers. This residue is located in a Mild_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 (1 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 F1213L around 17% (0/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.826 19 20
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 0 1 - -
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.

F1213L has 30 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
1245 13 M1245I,
1218 9 S1218I, S1218T,
1217 5
1216 6 L1216V,
1314 15 c.3940_3941delCT,
1220 11 G1220E,
1213 0
1210 5 F1210S,
1309 12 R1309C, R1309H,
1221 12 A1221V,
1242 14
1219 10 S1219N,
1313 12
1310 11
1316 14 R1316Q, R1316L,
1207 12
1306 14 R1306S, R1306H,
1246 11
1307 14
1222 14 L1222R, p.L1222LfsX7,
1215 7 I1215V,
1206 10
1214 5 M1214T,
1212 6 p.I1212del,
1253 13 E1253G,
1211 7
1250 13
1209 7 T1209R,
1249 12 V1249D,
1208 11 E1208K, E1208X,