SCN5A Variant F1694L Detail

We estimate the penetrance of LQTS for SCN5A F1694L around 4% and the Brugada syndrome penetrance around 34%. SCN5A F1694L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1694L is not present in gnomAD. F1694L 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 (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 F1694L around 4% (0/10) and the Brugada syndrome penetrance around 34% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.921 46 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 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.

F1694L 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
1702 10
387 14
1741 13 D1741E, D1741N, D1741Y,
1715 12
1687 11
1698 9 A1698T,
1745 14
1673 10
1675 6
1743 12 G1743R, G1743E,
1711 15 c.5131delG,
1707 11
1681 10 Y1681F, c.5040_5042delTTAinsC,
1694 0
1704 8 L1704H,
1226 10
1706 12 Q1706H,
1747 12 V1747M,
1716 9 p.L1716SfsX71,
1695 7 Q1695X,
1688 8
1684 12 W1684R,
1669 13
1671 11
1668 12 M1668T,
1676 6 M1676T, M1676I,
1692 9
1744 11 S1744I,
1721 13
1672 7 S1672Y,
1742 14
1693 5
378 15
1699 7
331 14
1712 13 G1712S, G1712C,
379 14
1680 7 A1680T, A1680P,
1703 6
1719 10
1701 10 M1701I,
1228 13 Y1228F, Y1228H, Y1228C,
1690 11 c.5068_5070delGA, D1690N,
1678 9 N1678S,
1223 13 c.3667delG,
1755 13
1697 10
1227 10
1674 10 F1674V,
1713 14
1748 11 p.G1748del, G1748D,
1708 14 T1708I,
1683 12
1301 15
1718 13 S1718R,
1696 8
1705 13
1689 11 D1689N,
1700 5
1717 12 L1717P,
1751 10
1677 9
1682 8
1752 11
1224 15
1670 13
1749 15 I1749N,
1686 13
1740 13 G1740R,
1225 14 G1225K, E1225K,
1691 11
1720 9 c.5157delC,
1679 5
1685 13
1667 15 V1667I,