SCN5A Variant F1674C Detail

We estimate the penetrance of LQTS for SCN5A F1674C around 4% and the Brugada syndrome penetrance around 14%. SCN5A F1674C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1674C is not present in gnomAD. F1674C 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 F1674C around 4% (0/10) and the Brugada syndrome penetrance around 14% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.959 10 0
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.

F1674C has 61 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
1746 12 A1746V, A1746T,
1281 14 c.3840+1G>A, V1281F,
1304 7 T1304M,
1745 14
1756 15 I1756V,
1299 15 c.3894delC,
1673 6
1675 4
1743 15 G1743R, G1743E,
1754 10
1707 14
1694 10
1704 12 L1704H,
1226 11
1747 9 V1747M,
1695 15 Q1695X,
1669 10
1671 6
1668 12 M1668T,
1676 8 M1676I, M1676T,
1744 12 S1744I,
1219 14 S1219N,
1753 13 T1753A,
1672 7 S1672Y,
1310 15
1306 13 R1306S, R1306H,
1305 9
1680 12 A1680P, A1680T,
1703 14
1302 10 p.L1302Vfs18,
1701 14 M1701I,
1307 10
1758 13 p.I1758del, I1758V,
1678 6 N1678S,
1223 13 c.3667delG,
1755 11
1697 14
1222 12 p.L1222LfsX7, L1222R,
1227 15
1300 11
1674 0 F1674V,
1748 10 p.G1748del, G1748D,
1301 8
1696 14
1700 11
1751 7
1311 14 L1311P,
1677 6
1682 14
1308 10 L1308F,
1750 10 L1750F,
1752 11
1670 7
1749 13 I1749N,
1225 13 E1225K, G1225K,
1720 13 c.5157delC,
1278 14 I1278N,
1679 8
1667 11 V1667I,
1303 12 R1303Q, R1303W,
1666 13