SCN5A Variant F1679V Detail

We estimate the penetrance of LQTS for SCN5A F1679V around 5% and the Brugada syndrome penetrance around 17%. SCN5A F1679V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1679V is not present in gnomAD. F1679V has been functionally characterized in 0 papers. This residue is located in a Mild_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 F1679V around 5% (0/10) and the Brugada syndrome penetrance around 17% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.966 16 1
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.

F1679V has 71 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 14
1746 11 A1746V, A1746T,
1741 11 D1741N, D1741E, D1741Y,
1304 13 T1304M,
1715 13
1687 13
1698 14 A1698T,
1745 10
1673 10
1675 4
1743 8 G1743R, G1743E,
1754 14
1707 13
1681 10 Y1681F, c.5040_5042delTTAinsC,
1694 5
1704 11 L1704H,
1226 11
1706 15 Q1706H,
1747 7 V1747M,
1695 9 Q1695X,
1716 10 p.L1716SfsX71,
1688 11
1684 14 W1684R,
1669 15
1671 11
1668 14 M1668T,
1676 7 M1676I, M1676T,
1692 13
1744 7 S1744I,
1721 10
1753 14 T1753A,
1672 9 S1672Y,
1742 11
1693 9
1699 12
1680 6 A1680P, A1680T,
1703 11
1719 10
1701 14 M1701I,
1690 14 D1690N, c.5068_5070delGA,
1678 5 N1678S,
1223 15 c.3667delG,
1755 13
1697 14
1227 11
1300 13
1674 8 F1674V,
1713 14
1748 8 p.G1748del, G1748D,
1683 11
1301 12
1718 12 S1718R,
1696 11
1739 15 R1739Q, R1739W,
1700 9
1717 11 L1717P,
1751 7
1677 6
1682 7
1750 12 L1750F,
1752 9
1722 12 N1722D,
1670 13
1686 15
1749 12 I1749N,
1740 11 G1740R,
1225 14 G1225K, E1225K,
1720 7 c.5157delC,
1732 14
1679 0
1685 13