SCN5A Variant V1532F Detail

We estimate the penetrance of LQTS for SCN5A V1532F around 2% and the Brugada syndrome penetrance around 5%. SCN5A V1532F was found in a total of 6 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1532F is present in 6 alleles in gnomAD. V1532F 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 (0 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 V1532F around 2% (0/16) and the Brugada syndrome penetrance around 5% (0/16).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
-3.08 0.901 -0.1 0.809 2 2
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: - 6 6 0 0 -
VARIANT FEATURES ALONE: - 15 15 0 0 - -
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.

V1532F has 37 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
1525 12 V1525A, V1525M,
1524 12 I1524T,
1567 15 F1567L,
1536 7
1538 11
1531 5
1635 11
1634 14 L1634P,
1534 7
1571 13 F1571C,
1527 9 K1527R,
1570 13 p.I1570dup, p.1570_F1571insI, I1570V,
1639 14 G1639A,
1529 5
1526 12 T1526P,
1630 13 I1630R, I1630V,
1532 0 V1532I, V1532F,
1632 11 R1632H, R1632L, R1632C,
1530 7
1539 10 C1539Y, C1539F,
1573 15
1535 6
1537 10
1638 13 R1638Q, R1638X,
1633 11
1595 15
1637 13
1636 8
1629 14 R1629Q, R1629X, R1629G,
1574 12 E1574K, c.4719C>T,
1533 4 T1533I,
1541 15
1578 13 c.4732_4733dupAA,
1540 12
1528 7
1631 14 G1631D,
1577 14