SCN5A Variant C1575F Detail

We estimate the penetrance of LQTS for SCN5A C1575F around 4% and the Brugada syndrome penetrance around 31%. SCN5A C1575F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. C1575F is not present in gnomAD. C1575F has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 C1575F around 4% (0/10) and the Brugada syndrome penetrance around 31% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.862 41 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 12 0 3 - -
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.

C1575F has 55 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 10 A1569P,
1525 10 V1525M, V1525A,
1524 12 I1524T,
1586 7
1518 14
1567 14 F1567L,
1538 13
1531 12
1566 15
1568 10
1587 11 F1587V,
1602 11
1534 10
1601 13 L1601H,
1522 14
1575 0 C1575S,
1600 9
1571 7 F1571C,
1521 11 I1521K, I1521T,
1572 5
1570 10 p.1570_F1571insI, p.I1570dup, I1570V,
1599 7
1526 14 T1526P,
1583 12 R1583C, R1583H,
1580 9
1626 14 R1626P, R1626C, R1626L, R1626H,
1603 12 I1603F,
1625 14
1585 15 Y1585C,
1576 5
1596 7 F1596C, F1596I,
1589 12
1584 14
1632 12 R1632L, R1632C, R1632H,
1597 10 V1597M,
1530 10
1573 5
1535 13
1537 13
1594 12 F1594S,
1588 14 T1588I,
1581 10 A1581S,
1591 13 W1591X,
1593 10 I1593M,
1595 7
1629 11 R1629Q, R1629X, R1629G,
1574 4 c.4719C>T, E1574K,
1533 14 T1533I,
1592 8
1578 5 c.4732_4733dupAA,
1590 14
1582 10 L1582P,
1579 6 L1579fsX53,
1598 10 V1598A,
1577 6