SCN5A Variant F1697L Detail

We estimate the penetrance of LQTS for SCN5A F1697L around 4% and the Brugada syndrome penetrance around 24%. SCN5A F1697L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1697L is not present in gnomAD. F1697L 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 (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 F1697L around 4% (0/10) and the Brugada syndrome penetrance around 24% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.818 28 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 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.

F1697L has 56 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 9
387 9
1218 14 S1218I, S1218T,
1304 15 T1304M,
391 15
330 13 S330F,
388 13 I388S,
1698 4 A1698T,
1220 10 G1220E,
1673 9
1675 12
1666 14
332 15 A332T,
1694 10
1704 11 L1704H,
1226 9
1695 10 Q1695X,
1669 9
1671 14
1221 10 A1221V,
1668 11 M1668T,
1676 8 M1676T, M1676I,
386 14 G386R, G386E,
1692 13
1219 11 S1219N,
1672 8 S1672Y,
1693 10
1699 7
1239 15 L1239P,
331 11
1665 11
1680 13 A1680T, A1680P,
1703 11
1235 14
1231 14 E1231K,
1701 7 M1701I,
1307 14
1228 9 Y1228C, Y1228F, Y1228H,
1223 6 c.3667delG,
1697 0
1222 10 L1222R, p.L1222LfsX7,
1227 10
1674 14 F1674V,
1229 13
390 12
382 15
1696 5
1705 12
1700 6
1677 13
1224 6
1670 13
1225 10 E1225K, G1225K,
1691 12
1679 14
1667 14 V1667I,