SCN5A Variant V1324F Detail

We estimate the penetrance of LQTS for SCN5A V1324F around 30% and the Brugada syndrome penetrance around 32%. SCN5A V1324F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1324F is not present in gnomAD. V1324F 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 (3 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 V1324F around 30% (1/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.958 43 37
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 1 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.

V1324F has 59 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
1328 6 V1328M,
1659 10
1271 10 W1271C,
1480 13 c.4437+5G>A, c.4438-1C>T,
1765 15
1472 12 N1472S, p.N1472del,
1315 6
1274 15
1314 8 c.3940_3941delCT,
1320 6 M1320I,
1764 15 c.5290delG, V1764F,
1666 12
1333 15
1656 12
1270 13 A1270S,
1477 13 K1477N,
1762 11 I1762M, p.I1762del,
1767 14 Y1767C,
1313 11
1660 10 I1660S, I1660V,
1329 9 G1329S,
1310 13
1769 14
1316 12 R1316L, R1316Q,
1766 9 M1766L, M1766T, M1766V,
1319 8 G1319V,
1479 12
1473 10 F1473C, F1473S,
1334 14 I1334V,
1663 9
1657 14
1759 14 S1759C,
1662 12
1324 0
1317 10 F1317C,
1327 5
1758 12 p.I1758del, I1758V,
1318 12
1330 10 A1330D, A1330P, A1330T,
1321 8 R1321K,
1323 4 V1323G,
1770 13 I1770V,
1322 6 c.3963+4A>G, c.3963+2T>C,
1312 9
1326 6 A1326S,
1763 11 V1763L, V1763M,
1311 9 L1311P,
1332 13 P1332Q, P1332L,
1308 14 L1308F,
1476 9 Q1476X, Q1476R,
1661 13 G1661R, G1661E,
1331 11 I1331V,
1655 15
1475 14 Q1475L, p.Q1475NfsX6,
1469 12 I1469V,
1269 14 N1269S,
1325 4 N1325S,
1667 13 V1667I,
1664 13