SCN5A Variant F1752L Detail

We estimate the penetrance of LQTS for SCN5A F1752L around 19% and the Brugada syndrome penetrance around 13%. SCN5A F1752L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1752L is not present in gnomAD. F1752L has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A F1752L around 19% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.82 9 22
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 14 0 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.

F1752L has 74 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 15
1746 10 A1746V, A1746T,
1417 12
1757 11
1715 10
1687 13
1413 11
1745 11
1756 7 I1756V,
1673 15
1675 10
1743 14 G1743R, G1743E,
1711 11 c.5131delG,
1754 7
1707 7
1694 11
1411 14
1704 9 L1704H,
1410 11
1706 11 Q1706H,
1747 9 V1747M,
1716 7 p.L1716SfsX71,
1714 10 D1714G,
1688 13
1671 9
1762 15 I1762M, p.I1762del,
1668 12 M1668T,
1676 14 M1676I, M1676T,
1692 15
1744 10 S1744I,
1721 10
1753 6 T1753A,
1672 12 S1672Y,
1693 14
1712 9 G1712S, G1712C,
1680 15 A1680P, A1680T,
1703 10
1759 11 S1759C,
1719 11
1709 12 T1709M, T1709R, p.T1709del,
1701 14 M1701I,
1420 14 G1420D, G1420V, G1420R, G1420P,
1758 11 p.I1758del, I1758V,
1678 12 N1678S,
1755 6
1674 11 F1674V,
1713 6
1748 5 p.G1748del, G1748D,
1708 11 T1708I,
1409 14 Y1409C, Y1409X,
1400 15 V1400I,
1718 10 S1718R,
1705 14
1700 12
1717 6 L1717P,
1751 4
1416 15 c.4245+1G>C, c.4245+2T>A, A1416G, A1416E, c.4245+1G>A,
1677 14
1682 14
1760 12
1750 8 L1750F,
1752 0
1722 14 N1722D,
1670 14
1761 13 c.5280delG, L1761F, L1761H,
1749 7 I1749N,
1686 14
375 14
1710 10 S1710L,
1720 8 c.5157delC,
1679 9
1419 12 K1419E,
1667 13 V1667I,
1414 11 Q1414H,