SCN5A Variant F1536S Detail

We estimate the penetrance of LQTS for SCN5A F1536S around 5% and the Brugada syndrome penetrance around 9%. SCN5A F1536S was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1536S is not present in gnomAD. F1536S 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 F1536S around 5% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.605 4 3
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 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.

F1536S has 35 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
1544 12 T1544P,
1567 10 F1567L,
1536 0
1538 8
1531 11
1566 13
1635 15
1543 10 V1543L, V1543A,
1534 7
1542 11
1571 12 F1571C,
1527 15 K1527R,
1570 11 I1570V, p.I1570dup, p.1570_F1571insI,
1529 10
1546 14 M1546T,
1545 15
1630 11 I1630R, I1630V,
1532 7 V1532F, V1532I,
1626 15 R1626C, R1626P, R1626L, R1626H,
1632 12 R1632L, R1632C, R1632H,
1539 6 C1539F, C1539Y,
1530 12
1535 7
1537 5
259 14
1633 11
1636 11
1629 13 R1629X, R1629G, R1629Q,
1574 13 c.4719C>T, E1574K,
1533 6 T1533I,
1563 14
1541 10
1540 5
1528 14
1631 14 G1631D,