SCN5A Variant F1360L Detail

We estimate the penetrance of LQTS for SCN5A F1360L around 4% and the Brugada syndrome penetrance around 46%. SCN5A F1360L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1360L is not present in gnomAD. F1360L has been functionally characterized in 0 papers. This residue is located in a 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 (4 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 F1360L around 4% (0/10) and the Brugada syndrome penetrance around 46% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.791 68 0
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 0 4 - -
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.

F1360L 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 10
1403 8
1357 8 A1357V,
1430 8 D1430N,
1352 11
1426 10
1406 14 G1406R, G1406E,
1361 6
1440 14 W1440X,
739 11
1395 11
1397 7 c.4189delT, c.4190delA,
1449 13 Y1449C, Y1449S,
1380 13 N1380K, p.N1380del,
1429 9
1442 15 Y1442C, Y1442N,
1723 13 T1723N,
1450 12
1398 5 V1398M,
1411 10
1353 11 V1353M,
1407 11
1410 14
1714 14 D1714G,
1358 7 G1358R, G1358W,
1396 10
1362 7 c.4083delG, R1362S,
1433 9 G1433W, G1433R, G1433V,
1438 8 P1438L,
1388 15
1404 12
1423 10 D1423H,
1437 11
1349 14
1431 6 S1431C,
1422 14 M1422R,
1359 5 K1359N, K1359M,
1356 7 c.4066_4068delTT,
1434 10 c.4299_4300insG, c.4300-1G>A, c.4299+1G>T, c.4299+2T>A, c.4299+1delG, c.4299+28C>T, c.4299delG, c.4300-2A>T, c.4299G>A, Y1434X,
1412 13 L1412F,
1408 11 G1408R,
1420 13 G1420P, G1420V, G1420R, G1420D,
1435 13
1360 0 F1360C,
1401 6
1425 11
1399 10
1354 14
1427 5 A1427S, A1427E,
1446 13
1424 8 I1424V,
738 13
1432 12 R1432S, R1432G,
1439 13 Q1439H, Q1439R,
1405 14 V1405M, V1405L,
740 14 p.N740del,
1364 12 I1364V,
878 15 R878L, R878C, R878H,
1400 7 V1400I,
1421 14
1443 13 N1443S,
1415 14
1428 6 A1428S, A1428V,
1363 12 C1363Y,
1436 13
1414 14 Q1414H,
1402 7