SCN5A Variant F1791I Detail

We estimate the penetrance of LQTS for SCN5A F1791I around 30% and the Brugada syndrome penetrance around 10%. SCN5A F1791I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1791I is not present in gnomAD. F1791I 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 (0 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 F1791I around 30% (1/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.92 3 38
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 1 0 - -
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.

F1791I has 65 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
1850 11 C1850S,
1855 12
1785 10
1794 7
1849 15 H1849R,
1856 12
1778 13
1853 12 I1853V,
1795 7 Y1795H, Y1795C, Y1795N, p.Y1795_E1796insD,
1818 14
1652 14 M1652R, M1652T,
1777 15 V1777L, V1777M,
1824 10 P1824A,
1820 14 A1820V, A1820T,
1504 7 K1504E,
1641 13
1851 11 M1851V, M1851I,
1501 7 L1501V, p.L1501_K1505del,
1860 15 c.5577_5578dupAA,
1857 11
1862 13
1507 13 p.Q1507_P1509del,
1493 14 K1493X, K1493R, p.K1493del,
1505 12 K1505N, p.K1505_Q1507del,
1858 8
1787 6 S1787N,
1786 6 c.5356_5357delCT, L1786Q, L1786R,
1648 12
1861 11 V1861F, V1861I,
1495 14 Y1495S,
1821 11
1644 13 R1644C, R1644L, R1644H,
1798 12 W1798X,
1826 14 R1826C, R1826H,
1496 11
1854 7
1825 8 L1825P,
1797 11 I1797V,
1793 8 M1793K,
1781 10 E1781G, E1781D,
1789 7
1499 11
1817 13
1645 13 T1645M,
1784 14 E1784K, E1784X,
1498 11 M1498T, M1498R, M1498V,
1796 11
1799 14
1788 5 c.5361_5364delTGAG,
1638 14 R1638X, R1638Q,
1500 5 p.K1500del,
1859 14
1791 0
1852 14 D1852V,
1792 6 D1792Y, D1792V, D1792N,
1823 13 E1823K, p.E1823HfsX10,
1502 10 G1502A, G1502S,
1783 15
1497 8
1790 5 D1790G, D1790N, p.D1790del,
1494 13
1506 12 P1506T, P1506S,
1503 9 S1503Y,
1822 10 c.5464-5467delTCTG, c.5464_5467delTCTG,
1782 12