SCN5A Variant F1587V Detail

We estimate the penetrance of LQTS for SCN5A F1587V around 4% and the Brugada syndrome penetrance around 11%. SCN5A F1587V was found in a total of 1 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1587V is present in 1 alleles in gnomAD. F1587V 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 (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 F1587V around 4% (0/11) and the Brugada syndrome penetrance around 11% (1/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
-6.27 1 -2.85 0.954 5 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: - 1 1 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.

F1587V has 31 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 14 V1525A, V1525M,
1586 4
1587 0 F1587V,
1575 11 C1575S,
1510 13
1600 13
1599 13
1583 9 R1583C, R1583H,
1580 11
1585 8 Y1585C,
1576 13
1596 7 F1596C, F1596I,
1589 8
1584 7
1632 15 R1632H, R1632C, R1632L,
1597 11 V1597M,
1594 10 F1594S,
1588 6 T1588I,
1581 11 A1581S,
1591 12 W1591X,
1593 6 I1593M,
1595 10
1629 15 R1629X, R1629Q, R1629G,
1574 13 c.4719C>T, E1574K,
1592 7
1578 10 c.4732_4733dupAA,
1590 9
1582 8 L1582P,
1579 8 L1579fsX53,
1598 14 V1598A,
1577 14