SCN5A Variant V1599F Detail

We estimate the penetrance of LQTS for SCN5A V1599F around 9% and the Brugada syndrome penetrance around 13%. SCN5A V1599F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V1599F is not present in gnomAD. V1599F 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 V1599F around 9% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.943 9 8
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.

V1599F 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 9 A1569P,
1627 14
1586 11
1567 12 F1567L,
1624 14 V1624I,
1538 12
1566 13
1568 7
1587 13 F1587V,
1602 5
1534 13
1601 6 L1601H,
1575 7 C1575S,
1608 13
1600 4
1571 7 F1571C,
1572 6
1564 12
1570 10 p.1570_F1571insI, I1570V, p.I1570dup,
1599 0
1626 9 R1626L, R1626H, R1626C, R1626P,
1603 6 I1603F,
1625 10
1606 10 T1606I,
1576 10
1596 6 F1596I, F1596C,
1628 13
1632 14 R1632L, R1632H, R1632C,
1597 6 V1597M,
1573 9
1535 15
1537 13
1565 12 L1565M,
1594 11 F1594S,
1591 14 W1591X,
1593 11 I1593M,
1595 7
1619 15 P1619Q, c.4856delC, P1619L,
1629 9 R1629Q, R1629X, R1629G,
1605 10 c.4813+5insTGGG, c.4813+3_4813+6dupGGGT, c.4813+2_4813+5dupTGGG, G1605D, G1605C,
1574 9 c.4719C>T, E1574K,
1541 13
1607 11
1592 11
1578 11 c.4732_4733dupAA,
1617 12 p.F1617del,
1590 15
1604 9 V1604M, c.4810+3_4810+6dupGGGT,
1622 9
1618 14
1621 14
1579 12 L1579fsX53,
1598 4 V1598A,
1577 13
1623 14 R1623Q, R1623L, R1623X, c.4867delC,