SCN5A Variant F1692C Detail

We estimate the penetrance of LQTS for SCN5A F1692C around 4% and the Brugada syndrome penetrance around 41%. SCN5A F1692C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1692C is not present in gnomAD. F1692C has been functionally characterized in 0 papers. This residue is located in a 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 (4 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 F1692C around 4% (0/10) and the Brugada syndrome penetrance around 41% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.971 58 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 11 0 4 - -
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.

F1692C has 75 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
333 9 c.998+1G>A, c.998+5G>A,
1702 6
326 13
387 10
385 13 A385T,
1715 11
1687 7
330 13 S330F,
388 13 I388S,
1698 9 A1698T,
1675 15
334 12 c.999-424_1338+81del,
1711 12 c.5131delG,
332 10 A332T,
1707 11
1681 15 c.5040_5042delTTAinsC, Y1681F,
1694 9
1704 10 L1704H,
327 14
1706 8 Q1706H,
1695 10 Q1695X,
376 12 R376H, R376C,
384 12 S384T,
1716 9 p.L1716SfsX71,
1714 15 D1714G,
1688 7
1684 10 W1684R,
329 14
1668 14 M1668T,
1676 13 M1676I, M1676T,
1692 0
386 10 G386R, G386E,
1672 14 S1672Y,
1693 6
378 8
1699 6
331 10
1712 11 G1712C, G1712S,
379 6
1680 14 A1680T, A1680P,
1703 6
1719 12
1709 15 p.T1709del, T1709R, T1709M,
1701 11 M1701I,
325 12 L325R,
1690 8 c.5068_5070delGA, D1690N,
324 12
1697 13
389 14 Y389X, Y389H,
1227 15
393 13
1713 14
390 12
383 8
1708 14 T1708I,
1683 15
382 7
1718 15 S1718R,
374 12 W374G,
1696 10
1705 11
1689 5 D1689N,
1700 9
1717 14 L1717P,
1682 13
1752 15
381 11 c.1141-3C>A, c.1140+1G>A,
1686 11
375 10
1691 4
380 10
1720 14 c.5157delC,
377 13
1679 13
1685 12