SCN5A Variant F1594C Detail

We estimate the penetrance of LQTS for SCN5A F1594C around 50% and the Brugada syndrome penetrance around 9%. SCN5A F1594C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1594C is not present in gnomAD. F1594C has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a 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 (2 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1594C around 50% (2/10) 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 0.983 1 67
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 13 2 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.

F1594C has 41 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
1627 11
1586 10
1624 10 V1624I,
1538 13
1635 13
1587 10 F1587V,
1634 14 L1634P,
1602 14
1534 15
1601 12 L1601H,
1575 12 C1575S,
1600 12
1571 13 F1571C,
1599 11
1630 11 I1630V, I1630R,
1626 11 R1626C, R1626L, R1626P, R1626H,
1625 7
1596 8 F1596C, F1596I,
1628 7
1589 8
1632 9 R1632H, R1632C, R1632L,
1597 6 V1597M,
1535 14
1594 0 F1594S,
1633 14
1588 11 T1588I,
1591 6 W1591X,
1593 5 I1593M,
1595 6
1629 7 R1629G, R1629Q, R1629X,
1574 13 c.4719C>T, E1574K,
1541 15
1592 7
1578 13 c.4732_4733dupAA,
1631 10 G1631D,
1590 5
1622 12
1621 12
1579 14 L1579fsX53,
1598 8 V1598A,
1623 15 R1623Q, c.4867delC, R1623L, R1623X,