SCN5A Variant F1705C Detail

We estimate the penetrance of LQTS for SCN5A F1705C around 5% and the Brugada syndrome penetrance around 36%. SCN5A F1705C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1705C is not present in gnomAD. F1705C 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 F1705C around 5% (0/10) and the Brugada syndrome penetrance around 36% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.973 49 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 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.

F1705C 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 6
387 11
396 12 V396L, V396A,
1687 15
391 10
388 12 I388S,
1698 10 A1698T,
401 14 S401P,
1756 14 I1756V,
1764 13 c.5290delG, V1764F,
1666 13
371 12 Q371E,
1711 10 c.5131delG,
1707 7
1694 13
1704 5 L1704H,
1706 6 Q1706H,
1716 13 p.L1716SfsX71,
1669 12
1671 13
1668 6 M1668T,
1676 15 M1676T, M1676I,
1692 11
386 13 G386R, G386E,
1672 11 S1672Y,
1767 15 Y1767C,
1660 14 I1660S, I1660V,
1693 13
378 7
1699 10
402 12 F402L,
1665 9
373 15
1712 12 G1712C, G1712S,
379 11
1703 7
1663 13
399 14
397 9 I397V, I397T, I397F,
1759 11 S1759C,
1662 14
1709 8 T1709R, T1709M, p.T1709del,
1701 6 M1701I,
1758 15 p.I1758del, I1758V,
392 12
1755 11
1697 12
389 13 Y389H, Y389X,
395 12
393 8
1713 12
390 7
394 7
1708 6 T1708I,
382 11
1696 14
374 9 W374G,
1705 0
1700 9
1763 14 V1763L, V1763M,
1751 15
1760 14
1752 14
1670 14
1661 11 G1661R, G1661E,
381 13 c.1140+1G>A, c.1141-3C>A,
375 11
1691 13
368 12
1710 11 S1710L,
377 13
398 10
400 14 G400R, G400A, G400E,
1667 11 V1667I,
1664 9