SCN5A Variant F1522V Detail

We estimate the penetrance of LQTS for SCN5A F1522V around 11% and the Brugada syndrome penetrance around 23%. SCN5A F1522V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1522V is not present in gnomAD. F1522V 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 (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1522V around 11% (0/10) and the Brugada syndrome penetrance around 23% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.943 26 10
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 13 0 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.

F1522V has 43 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
1523 5 D1523N,
1508 15
1521 6 I1521K, I1521T,
1585 11 Y1585C,
1803 13
1527 10 K1527R,
1576 13
1517 12
1525 5 V1525A, V1525M,
1519 6
1589 15
1584 13
1515 12 N1515S, c.4542+15G>A,
1800 14
1529 14
1574 13 c.4719C>T, E1574K,
1512 5 R1512L, R1512W, R1512Q,
1530 11
1524 7 I1524T,
1586 12
1514 11 L1514M,
1518 8
1509 11 P1509T,
1592 14
1578 9 c.4732_4733dupAA,
1528 13
1531 12
1573 14
1799 13
1526 5 T1526P,
1516 14 L1516sp,
1575 14 C1575S,
1583 10 R1583H, R1583C,
1580 8
1511 8
1513 7
1582 7 L1582P,
1579 11 L1579fsX53,
1581 5 A1581S,
1522 0
1520 8
1577 8
1510 7