SCN5A Variant F1760L Detail

We estimate the penetrance of LQTS for SCN5A F1760L around 39% and the Brugada syndrome penetrance around 19%. SCN5A F1760L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1760L is not present in gnomAD. F1760L has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a 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 F1760L around 39% (1/10) and the Brugada syndrome penetrance around 19% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.826 18 50
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.

F1760L 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
896 14 C896S,
1417 7
1765 7
1457 13
1757 7
1413 11
372 15
401 14 S401P,
1756 6 I1756V,
1461 12 T1461S,
1764 6 c.5290delG, V1764F,
371 11 Q371E,
1711 10 c.5131delG,
1754 11
1707 9
1704 13 L1704H,
1458 11 S1458Y,
1706 13 Q1706H,
1714 15 D1714G,
1671 14
935 14 L935P,
897 14 G897R, G897E,
1762 8 I1762M, p.I1762del,
1464 13 L1464P, c.4389_4396delCCTCTTTA,
1668 14 M1668T,
1466 10 c.4396_4397insG,
1753 11 T1753A,
1767 12 Y1767C,
1660 14 I1660S, I1660V,
1769 14
1418 11
402 11 F402L,
1766 11 M1766T, M1766V, M1766L,
1768 11 I1768V,
1712 12 G1712C, G1712S,
1334 13 I1334V,
1341 14
1468 14 V1468A, V1468F,
1663 14
397 14 I397V, I397T, I397F,
405 14
1462 8
1759 6 S1759C,
1327 15
1709 7 T1709R, T1709M, p.T1709del,
1758 9 p.I1758del, I1758V,
1459 14 c.4376_4379delTCTT,
1755 8
1713 8
1338 13 L1338V,
1708 8 T1708I,
374 13 W374G,
1705 14
1345 14 W1345C,
1337 14
1763 8 V1763L, V1763M,
1751 14
1416 10 c.4245+1G>A, c.4245+2T>A, c.4245+1G>C, A1416G, A1416E,
1465 9 p.F1465_L1480dup,
1760 0
1467 14
370 14 T370M,
1752 12
1761 4 c.5280delG, L1761H, L1761F,
1469 12 I1469V,
406 14 N406K, N406S,
1710 6 S1710L,
1415 13
398 15
1419 11 K1419E,
1667 13 V1667I,
1414 12 Q1414H,
1664 12
1463 10 N1463Y,