SCN5A Variant F1456V Detail

We estimate the penetrance of LQTS for SCN5A F1456V around 31% and the Brugada syndrome penetrance around 31%. SCN5A F1456V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1456V is not present in gnomAD. F1456V has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1456V around 31% (1/10) and the Brugada syndrome penetrance around 31% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.956 40 40
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 1 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.

F1456V 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
896 14 C896S,
937 14
895 15 L895F,
1417 15
839 10 L839P,
842 13
1340 11 V1340I,
1457 6
1453 7
1455 4
1447 15
1351 12 M1351R, M1351V,
1449 11 Y1449S, Y1449C,
1452 6
1461 8 T1461S,
812 14 L812Q,
1344 7 F1344L, F1344S,
1450 11
836 12 V836M,
1451 9 V1451L, V1451D,
825 14
934 11
1458 8 S1458Y,
935 15 L935P,
1348 8 F1348L,
1464 11 c.4389_4396delCCTCTTTA, L1464P,
1349 14
1346 13 L1346P, L1346I,
833 13 G833R,
1418 14
892 13 F892I,
1341 11
831 14
1462 11
938 12
1412 12 L1412F,
840 12
942 14
843 11 T843A,
1456 0
1459 8 c.4376_4379delTCTT,
1460 6 F1460L,
816 12 F816L, F816Y,
837 15
813 15 c.2436+12G>A, c.2437-5C>A,
1454 7
1448 12 I1448L, I1448T,
815 15
847 15
1343 12
1345 10 W1345C,
1337 14
846 13 L846R,
1342 14
1416 11 c.4245+1G>A, A1416E, A1416G, c.4245+2T>A, c.4245+1G>C,
838 14
1465 15 p.F1465_L1480dup,
1347 10
1415 13
844 14 L844RfsX3,
829 12
832 10
835 12 S835A, S835L,
828 12 L828V,
931 14
1463 11 N1463Y,
1413 15