SCN5A Variant F1751I Detail

We estimate the penetrance of LQTS for SCN5A F1751I around 23% and the Brugada syndrome penetrance around 15%. SCN5A F1751I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1751I is not present in gnomAD. F1751I has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Mild_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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1751I around 23% (1/10) and the Brugada syndrome penetrance around 15% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.976 11 28
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 1 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.

F1751I has 66 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
1746 9 A1746T, A1746V,
1304 13 T1304M,
1757 11
1715 13
1413 15
1745 11
1756 9 I1756V,
1673 11
1675 7
1743 13 G1743E, G1743R,
1711 14 c.5131delG,
1754 6
1707 9
1694 10
1704 9 L1704H,
1410 14
1706 14 Q1706H,
1747 7 V1747M,
1716 10 p.L1716SfsX71,
1714 14 D1714G,
1688 15
1669 13
1671 6
1668 11 M1668T,
1676 11 M1676T, M1676I,
1744 10 S1744I,
1721 11
1753 7 T1753A,
1672 9 S1672Y,
1693 14
1712 13 G1712C, G1712S,
1680 13 A1680T, A1680P,
1703 11
1759 12 S1759C,
1719 13
1701 14 M1701I,
1307 15
1758 11 p.I1758del, I1758V,
1678 8 N1678S,
1755 7
1674 7 F1674V,
1713 10
1748 5 p.G1748del, G1748D,
1708 12 T1708I,
1301 14
1718 13 S1718R,
1705 15
1700 11
1717 9 L1717P,
1751 0
1677 11
1682 13
1308 15 L1308F,
1760 14
1750 7 L1750F,
1752 4
1722 15 N1722D,
1670 10
1761 15 c.5280delG, L1761H, L1761F,
1749 8 I1749N,
1710 14 S1710L,
1720 9 c.5157delC,
1679 7
1667 11 V1667I,
1414 15 Q1414H,
1666 15