SCN5A Variant F1450C Detail

We estimate the penetrance of LQTS for SCN5A F1450C around 5% and the Brugada syndrome penetrance around 41%. SCN5A F1450C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1450C is not present in gnomAD. F1450C 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 F1450C around 5% (0/10) and the Brugada syndrome penetrance around 41% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.959 58 2
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.

F1450C has 72 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
888 12
1355 10
890 15 I890T,
1357 14 A1357V,
896 12 C896S,
895 14 L895F,
1417 12
1430 13 D1430N,
1352 10
1426 13
1445 12 Y1445H,
1457 11
1453 6
1455 10
1447 7
1444 11 L1444I,
1351 10 M1351R, M1351V,
1449 4 Y1449S, Y1449C,
1452 7
1350 14 I1350T, I1350L,
1429 9
1344 15 F1344L, F1344S,
1450 0
1411 10
1451 6 V1451D, V1451L,
1353 13 V1353M,
1407 15
886 14 H886Q, H886P,
1458 11 S1458Y,
1410 14
1348 9 F1348L,
1423 12 D1423H,
1349 11
1431 13 S1431C,
1422 10 M1422R,
1418 11
892 10 F892I,
1359 13 K1359N, K1359M,
1356 9 c.4066_4068delTT,
898 14
893 13 R893C, R893H,
1412 8 L1412F,
1408 12 G1408R,
889 10
1420 12 G1420D, G1420V, G1420R, G1420P,
1456 11
1360 12 F1360C,
1459 12 c.4376_4379delTCTT,
1401 14
1425 6
1454 7
1354 14
1427 11 A1427S, A1427E,
1446 8
1424 8 I1424V,
1448 7 I1448L, I1448T,
1409 14 Y1409C, Y1409X,
878 15 R878H, R878L, R878C,
1400 13 V1400I,
1421 8
885 13
1345 12 W1345C,
1443 13 N1443S,
1416 10 c.4245+1G>C, c.4245+2T>A, A1416G, A1416E, c.4245+1G>A,
879 13 W879R,
1347 13
1415 7
1428 8 A1428S, A1428V,
1419 14 K1419E,
1414 12 Q1414H,
1402 10
1413 12