SCN5A Variant F1348C Detail

We estimate the penetrance of LQTS for SCN5A F1348C around 4% and the Brugada syndrome penetrance around 27%. SCN5A F1348C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1348C is not present in gnomAD. F1348C has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (2 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 F1348C around 4% (0/10) and the Brugada syndrome penetrance around 27% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.975 34 1
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 13 0 2 - -
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.

F1348C has 67 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
1355 11
1357 14 A1357V,
811 14 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
1417 15
808 15 R808P, R808C, R808H,
1352 8
1406 13 G1406R, G1406E,
1340 12 V1340I,
1457 9
1453 5
1455 10
1447 14
1339 15 p.L1339del, L1339F,
1351 5 M1351V, M1351R,
1449 6 Y1449C, Y1449S,
1452 7
1461 11 T1461S,
812 9 L812Q,
1350 8 I1350T, I1350L,
1344 7 F1344S, F1344L,
731 14 T731I,
806 15 V806M,
1450 9
1411 11
1451 11 V1451D, V1451L,
1353 11 V1353M,
1407 14
737 15
1458 12 S1458Y,
1410 14
1348 0 F1348L,
1404 14
1349 6
1346 8 L1346I, L1346P,
1341 11
1356 11 c.4066_4068delTT,
1462 14
1412 8 L1412F,
810 13
1408 10 G1408R,
735 13 A735V, A735T, A735E,
1456 8
1459 14 c.4376_4379delTCTT,
734 13 M734V, c.2201dupT,
1460 13 F1460L,
816 11 F816Y, F816L,
1425 14
813 12 c.2437-5C>A, c.2436+12G>A,
1454 10
1354 11
1446 13
1424 14 I1424V,
1448 11 I1448L, I1448T,
1405 11 V1405M, V1405L,
809 11
1409 10 Y1409X, Y1409C,
815 11
1343 10
1345 7 W1345C,
1342 11
1416 11 A1416G, c.4245+2T>A, c.4245+1G>C, c.4245+1G>A, A1416E,
1347 5
1415 11
1428 15 A1428S, A1428V,
1414 14 Q1414H,
1402 11
1413 12