SCN5A Variant L1480F Detail

We estimate the penetrance of LQTS for SCN5A L1480F around 25% and the Brugada syndrome penetrance around 25%. SCN5A L1480F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. L1480F is not present in gnomAD. L1480F 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 (2 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 L1480F around 25% (1/10) and the Brugada syndrome penetrance around 25% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.534 34 32
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 1 2 - -
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.

L1480F has 40 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
1659 14
1480 0 c.4437+5G>A, c.4438-1C>T,
1773 12
1653 14
1472 13 p.N1472del, N1472S,
1315 15
1652 14 M1652T, M1652R,
1777 14 V1777L, V1777M,
1485 15
1320 13 M1320I,
1492 12
1656 12
1477 6 K1477N,
1478 8 K1478E,
1329 15 G1329S,
1769 15
1319 10 G1319V,
1495 12 Y1495S,
1774 13 N1774D, c.5321_5324dupACTT,
1479 6
1473 11 F1473S, F1473C,
1496 12
1474 11
1324 13
1481 4 G1481E, G1481R, G1481V,
1317 14 F1317C,
1318 10
1499 13
1321 9 R1321K,
1323 11 V1323G,
1770 13 I1770V,
1482 7
1322 7 c.3963+4A>G, c.3963+2T>C,
1326 12 A1326S,
1476 6 Q1476X, Q1476R,
1484 12
1655 14
1475 9 p.Q1475NfsX6, Q1475L,
1483 11 Q1483H,
1325 10 N1325S,