SCN5A Variant F1596L Detail

We estimate the penetrance of LQTS for SCN5A F1596L around 18% and the Brugada syndrome penetrance around 9%. SCN5A F1596L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1596L is not present in gnomAD. F1596L has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_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 F1596L around 18% (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 0.898 1 22
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.

F1596L has 47 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 14 A1569P,
1586 7
1568 12
1587 7 F1587V,
1602 10
1534 15
1601 9 L1601H,
1575 7 C1575S,
1600 5
1571 11 F1571C,
1572 10
1570 15 p.I1570dup, p.1570_F1571insI, I1570V,
1599 6
1583 13 R1583H, R1583C,
1580 13
1626 13 R1626C, R1626L, R1626P, R1626H,
1603 10 I1603F,
1625 11
1585 15 Y1585C,
1576 11
1596 0 F1596C, F1596I,
1628 13
1589 11
1584 13
1632 13 R1632H, R1632C, R1632L,
1597 5 V1597M,
1573 11
1594 8 F1594S,
1588 12 T1588I,
1581 14 A1581S,
1591 12 W1591X,
1593 6 I1593M,
1595 6
1629 11 R1629G, R1629Q, R1629X,
1605 15 c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D,
1574 10 c.4719C>T, E1574K,
1592 8
1578 10 c.4732_4733dupAA,
1617 14 p.F1617del,
1590 11
1604 12 V1604M, c.4810+3_4810+6dupGGGT,
1622 13
1582 12 L1582P,
1621 15
1579 8 L1579fsX53,
1598 7 V1598A,
1577 13