SCN5A Variant V1598F Detail

We estimate the penetrance of LQTS for SCN5A V1598F around 9% and the Brugada syndrome penetrance around 10%. SCN5A V1598F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1598F is not present in gnomAD. V1598F 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 V1598F around 9% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.959 3 7
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.

V1598F has 62 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 12 A1569P,
1627 10
1586 12
1567 12 F1567L,
1624 9 V1624I,
1538 11
1566 14
1568 8
1587 14 F1587V,
1602 6
1534 13
1542 13
1601 6 L1601H,
1575 10 C1575S,
1608 15
1600 6
1571 8 F1571C,
1572 10
1564 12
1570 12 p.I1570dup, p.1570_F1571insI, I1570V,
1599 4
1545 13
1630 13 I1630V, I1630R,
1626 6 R1626C, R1626L, R1626P, R1626H,
1603 9 I1603F,
1625 5
1606 12 T1606I,
1576 14
1596 7 F1596C, F1596I,
1628 9
1589 14
1632 12 R1632H, R1632C, R1632L,
1539 15 C1539Y, C1539F,
1597 4 V1597M,
1620 13 T1620M, T1620K,
1573 12
1535 14
1537 13
1565 13 L1565M,
1594 8 F1594S,
1591 12 W1591X,
1593 10 I1593M,
1595 6
1619 12 P1619L, c.4856delC, P1619Q,
1629 7 R1629G, R1629Q, R1629X,
1605 11 c.4813+5insTGGG, c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D,
1574 10 c.4719C>T, E1574K,
1541 11
1616 15
1607 14
1592 11
1578 13 c.4732_4733dupAA,
1617 10 p.F1617del,
1631 14 G1631D,
1590 13
1604 10 V1604M, c.4810+3_4810+6dupGGGT,
1622 6
1618 12
1621 10
1579 14 L1579fsX53,
1598 0 V1598A,
1623 11 R1623Q, c.4867delC, R1623L, R1623X,