SCN5A Variant F1530S Detail

We estimate the penetrance of LQTS for SCN5A F1530S around 6% and the Brugada syndrome penetrance around 17%. SCN5A F1530S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1530S is not present in gnomAD. F1530S has been functionally characterized in 0 papers. This residue is located in a Mild_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 F1530S around 6% (0/10) and the Brugada syndrome penetrance around 17% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.953 16 4
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.

F1530S has 45 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
1569 14 A1569P,
1525 6 V1525M, V1525A,
1524 6 I1524T,
1586 13
1567 14 F1567L,
1536 12
1538 12
1531 4
1635 13
1534 6
1522 11
1575 10 C1575S,
1571 11 F1571C,
1523 10 D1523N,
1521 10 I1521K, I1521T,
1527 6 K1527R,
1572 12
1570 10 I1570V, p.I1570dup, p.1570_F1571insI,
1529 5
1526 8 T1526P,
1580 13
1532 7 V1532F, V1532I,
1576 11
1519 13
1589 14
1632 12 R1632C, R1632H, R1632L,
1539 14 C1539F, C1539Y,
1530 0
1573 9
1535 9
1537 11
1633 15
1581 11 A1581S,
1520 13
1595 12
1636 13
1629 13 R1629Q, R1629G, R1629X,
1574 7 E1574K, c.4719C>T,
1533 6 T1533I,
1592 12
1578 7 c.4732_4733dupAA,
1528 8
1582 12 L1582P,
1579 13 L1579fsX53,
1577 7