SCN5A Variant F1658I Detail

We estimate the penetrance of LQTS for SCN5A F1658I around 13% and the Brugada syndrome penetrance around 37%. SCN5A F1658I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1658I is not present in gnomAD. F1658I has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 F1658I around 13% (0/10) and the Brugada syndrome penetrance around 37% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.968 52 14
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 0 3 - -
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.

F1658I has 45 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
403 10
1659 6
396 15 V396L, V396A,
1653 8
391 15
1771 12 I1771T,
401 15 S401P,
1652 12 M1652R, M1652T,
1314 13 c.3940_3941delCT,
1320 10 M1320I,
1764 14 c.5290delG, V1764F,
1666 14
1650 11 L1650F,
1656 6
1767 9 Y1767C,
1660 8 I1660S, I1660V,
1654 5
1769 14
402 12 F402L,
1766 13 M1766T, M1766V, M1766L,
1319 10 G1319V,
1665 12
1649 13 A1649V,
1768 14 I1768V,
1774 14 c.5321_5324dupACTT, N1774D,
1663 11
399 9
397 14 I397V, I397T, I397F,
1657 5
1662 7
1317 11 F1317C,
1318 12
395 12
1323 12 V1323G,
394 12
1770 11 I1770V,
1651 11
1322 13 c.3963+2T>C, c.3963+4A>G,
1763 13 V1763L, V1763M,
1661 7 G1661R, G1661E,
1655 5
398 8
400 13 G400R, G400A, G400E,
1664 11
1658 0