SCN5A Variant F1402L Detail

We estimate the penetrance of LQTS for SCN5A F1402L around 4% and the Brugada syndrome penetrance around 40%. SCN5A F1402L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1402L is not present in gnomAD. F1402L 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 (3 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 F1402L around 4% (0/10) and the Brugada syndrome penetrance around 40% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.897 56 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 12 0 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.

F1402L 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 8
1403 6
1357 6 A1357V,
1430 13 D1430N,
1352 6
1426 14
1406 9 G1406R, G1406E,
1453 11
1361 12
1351 10 M1351R, M1351V,
739 11
1397 11 c.4190delA, c.4189delT,
1449 9 Y1449S, Y1449C,
1350 10 I1350L, I1350T,
1429 12
1723 14 T1723N,
1450 10
1398 10 V1398M,
1411 6
1353 7 V1353M,
1407 6
737 12
1410 9
1714 14 D1714G,
1358 9 G1358W, G1358R,
1362 14 R1362S, c.4083delG,
1433 13 G1433V, G1433R, G1433W,
1438 15 P1438L,
1348 11 F1348L,
1404 7
1423 13 D1423H,
1349 7
1431 11 S1431C,
1422 15 M1422R,
1346 12 L1346P, L1346I,
1359 8 K1359N, K1359M,
1356 5 c.4066_4068delTT,
1434 12 c.4299+28C>T, c.4299delG, c.4300-1G>A, c.4299G>A, c.4299+1delG, c.4299+1G>T, c.4299_4300insG, c.4299+2T>A, Y1434X, c.4300-2A>T,
1412 7 L1412F,
1408 5 G1408R,
735 13 A735E, A735T, A735V,
1420 13 G1420P, G1420R, G1420D, G1420V,
1360 7 F1360C,
734 15 c.2201dupT, M734V,
1401 5
1425 11
1399 12
1454 15
1354 10
1427 10 A1427E, A1427S,
1446 13
1424 8 I1424V,
738 11
1405 8 V1405M, V1405L,
740 14 p.N740del,
1409 10 Y1409C, Y1409X,
1400 7 V1400I,
1421 14
1345 13 W1345C,
1416 14 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
736 13 L736P,
1347 13
1415 11
1428 9 A1428S, A1428V,
1414 11 Q1414H,
1402 0
1413 11