SCN5A Variant F1622Y Detail

We estimate the penetrance of LQTS for SCN5A F1622Y around 34% and the Brugada syndrome penetrance around 23%. SCN5A F1622Y was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1622Y is not present in gnomAD. F1622Y has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1622Y around 34% (1/10) and the Brugada syndrome penetrance around 23% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.946 26 44
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 12 1 2 - -
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.

F1622Y has 57 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
271 12 L271V,
266 13 L266H,
1569 14 A1569P,
1544 14 T1544P,
270 11 Q270K,
1627 9
1567 13 F1567L,
1624 7 V1624I,
1538 13
1568 10
1602 7
1542 13
1601 6 L1601H,
1609 14 S1609W, S1609L,
1608 13
1613 12 Q1613L, Q1613H,
1600 10
1571 12 F1571C,
1572 14
1564 10
1599 9
1545 10
1630 15 I1630R, I1630V,
1626 5 R1626C, R1626H, R1626L, R1626P,
267 12
1603 10 I1603F,
1625 6
1606 10 T1606I,
1560 14 L1560F,
1610 13 D1610G,
1596 13 F1596I, F1596C,
1628 11
1597 9 V1597M,
269 15
1620 7 T1620K, T1620M,
1565 12 L1565M,
1594 12 F1594S,
1614 14
1548 14 E1548K, G1548K,
1593 15 I1593M,
1595 12
1619 6 P1619Q, P1619L, c.4856delC,
1629 11 R1629G, R1629Q, R1629X,
1605 8 c.4813+2_4813+5dupTGGG, c.4813+3_4813+6dupGGGT, G1605C, G1605D, c.4813+5insTGGG,
1563 14
1541 11
1616 12
1607 13
1617 6 p.F1617del,
268 15 G268S,
1604 9 c.4810+3_4810+6dupGGGT, V1604M,
1622 0
1618 7
1621 7
1598 6 V1598A,
1561 13
1623 6 R1623L, c.4867delC, R1623X, R1623Q,