SCN5A Variant F1453C Detail

We estimate the penetrance of LQTS for SCN5A F1453C around 10% and the Brugada syndrome penetrance around 37%. SCN5A F1453C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1453C is not present in gnomAD. F1453C 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 F1453C around 10% (0/10) and the Brugada syndrome penetrance around 37% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.922 51 9
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.

F1453C has 64 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 13
896 12 C896S,
895 14 L895F,
1417 10
1352 11
1406 15 G1406E, G1406R,
1340 13 V1340I,
1457 6
1453 0
1455 7
1447 12
1351 9 M1351V, M1351R,
1449 7 Y1449S, Y1449C,
1452 6
1461 10 T1461S,
812 14 L812Q,
1350 12 I1350L, I1350T,
1344 9 F1344S, F1344L,
1450 6
1411 10
1451 7 V1451L, V1451D,
1353 14 V1353M,
1407 14
934 15
1458 7 S1458Y,
1410 13
1348 5 F1348L,
1464 14 c.4389_4396delCCTCTTTA, L1464P,
1349 9
1422 14 M1422R,
1346 11 L1346I, L1346P,
1418 10
892 12 F892I,
1341 11
1356 12 c.4066_4068delTT,
1462 10
1412 6 L1412F,
1408 11 G1408R,
889 14
1420 14 G1420R, G1420V, G1420D, G1420P,
1456 7
1459 9 c.4376_4379delTCTT,
1460 11 F1460L,
1425 11
1454 5
1446 13
1424 12 I1424V,
1448 10 I1448L, I1448T,
1405 14 V1405M, V1405L,
1409 11 Y1409C, Y1409X,
1400 15 V1400I,
1421 11
1343 13
1345 7 W1345C,
1342 12
1416 7 A1416G, c.4245+1G>C, c.4245+2T>A, A1416E, c.4245+1G>A,
1347 10
1415 6
1428 13 A1428V, A1428S,
1419 14 K1419E,
1414 11 Q1414H,
1402 11
1463 13 N1463Y,
1413 9