SCN5A Variant F1567C Detail

We estimate the penetrance of LQTS for SCN5A F1567C around 4% and the Brugada syndrome penetrance around 20%. SCN5A F1567C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1567C is not present in gnomAD. F1567C 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 F1567C around 4% (0/10) and the Brugada syndrome penetrance around 20% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.976 20 0
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.

F1567C has 51 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 7 A1569P,
1544 8 T1544P,
1627 13
1567 0 F1567L,
1536 10
1538 8
1566 4
1568 6
1543 10 V1543A, V1543L,
1602 11
1558 15
1534 10
1542 11
1575 14 C1575S,
1562 10
1571 6 F1571C,
1572 10
1564 6
1570 6 p.I1570dup, p.1570_F1571insI, I1570V,
1599 12
1546 14 M1546T,
1545 11
1630 14 I1630V, I1630R,
1532 15 V1532F, V1532I,
1626 9 R1626C, R1626L, R1626P, R1626H,
1603 14 I1603F,
1625 15
1606 13 T1606I,
1560 10 L1560F,
1559 11 I1559V,
1632 14 R1632H, R1632C, R1632L,
1539 10 C1539Y, C1539F,
1530 14
1573 12
1535 12
1537 5
1565 7 L1565M,
1548 14 E1548K, G1548K,
1595 13
1629 11 R1629G, R1629Q, R1629X,
1605 15 c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D,
1547 14 V1547L,
1574 11 c.4719C>T, E1574K,
1533 12 T1533I,
1563 6
1541 6
1540 7
1622 13
1598 12 V1598A,
1561 10
1623 14 R1623Q, c.4867delC, R1623L, R1623X,