SCN5A Variant F1665C Detail

We estimate the penetrance of LQTS for SCN5A F1665C around 12% and the Brugada syndrome penetrance around 23%. SCN5A F1665C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1665C is not present in gnomAD. F1665C has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 F1665C around 12% (0/10) 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 0.953 27 11
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 13 0 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.

F1665C has 60 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
1702 12
1659 11
391 13
1315 14
1216 12 L1216V,
1698 12 A1698T,
1314 10 c.3940_3941delCT,
1220 12 G1220E,
1320 13 M1320I,
1673 12
1764 14 V1764F, c.5290delG,
1666 5
1707 14
1704 10 L1704H,
1669 6
1671 11
1221 15 A1221V,
1668 5 M1668T,
1676 15 M1676I, M1676T,
1219 11 S1219N,
1672 10 S1672Y,
1767 14 Y1767C,
1313 13
1660 11 I1660S, I1660V,
1699 15
1310 11
402 15 F402L,
1665 0
1703 14
1663 8
1657 14
1759 12 S1759C,
1662 6
1317 14 F1317C,
1709 15 T1709M, T1709R, p.T1709del,
1701 8 M1701I,
1307 12
1758 14 p.I1758del, I1758V,
1223 12 c.3667delG,
1755 13
1697 11
1222 14 p.L1222LfsX7, L1222R,
1323 15 V1323G,
394 10
390 11
1215 15 I1215V,
1708 11 T1708I,
1696 15
1705 9
1700 11
1763 13 V1763M, V1763L,
1311 12 L1311P,
1308 14 L1308F,
1224 14
1670 9
1661 7 G1661R, G1661E,
398 12
1667 7 V1667I,
1664 6
1658 12