SCN5A Variant F147Y Detail

We estimate the penetrance of LQTS for SCN5A F147Y around 4% and the Brugada syndrome penetrance around 10%. SCN5A F147Y was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F147Y is not present in gnomAD. F147Y has been functionally characterized in 0 papers. This residue is located in a Non_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 (1 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 F147Y around 4% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.874 5 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 14 0 1 - -
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.

F147Y has 46 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
154 11 P154L,
223 12 V223L,
859 13
153 10
149 7
147 0
164 8 F164L,
143 7
142 11
156 9 W156X, W156R,
158 10 K158T,
163 11 c.486delC,
851 12 F851L, c.2552_2553dupGT, c.2550_2551dupGT, p.F851CfsX19,
852 15
854 15 c.2559delT,
222 10 R222X, R222Q, R222L,
155 9
150 6
157 7 T157I,
160 7 p.V160fs,
226 13 A226G, A226V,
166 15 A166T,
858 13 M858L,
144 5
855 12
139 13 p.I137_C139dup,
148 5
165 12
884 12
204 14 A204T, c.611+3_611+4dupAA, c.611+1G>A, A204V,
162 12 Y162C, Y162H,
146 6 V146A, V146M,
208 15 E208K,
168 13
152 10 D152N,
141 11 I141N, I141V,
167 14
161 7 E161K, E161Q,
219 11 c.656_657insATTCA, R219H, p.R219HfsX11, R219C,
225 13 R225W, R225Q,
151 6
159 10 Y159C, Y159X,
883 15
207 15
145 7
140 10