SCN5A Variant F1794L Detail

We estimate the penetrance of LQTS for SCN5A F1794L around 38% and the Brugada syndrome penetrance around 12%. SCN5A F1794L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1794L is not present in gnomAD. F1794L has been functionally characterized in 0 papers. This residue is located in a Non_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 F1794L around 38% (1/10) and the Brugada syndrome penetrance around 12% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.975 7 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.

F1794L has 68 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 8 C1850S,
1855 12
1803 14
1814 11
1794 0
1849 11 H1849R,
1856 11
1806 14 p.Thr1806SerfsX27,
1853 8 I1853V,
1795 4 Y1795H, Y1795C, p.Y1795_E1796insD, Y1795N,
1828 15 A1828S, A1828T,
1813 13
1818 9
1801 10
1824 11 P1824A,
1838 15
1802 11
1820 9 A1820T, A1820V,
1504 9 K1504E,
1851 10 M1851V, M1851I,
1501 10 L1501V, p.L1501_K1505del,
1860 13 c.5577_5578dupAA,
1857 8
1507 10 p.Q1507_P1509del,
1505 12 p.K1505_Q1507del, K1505N,
1858 10
1509 15 P1509T,
1808 13
1787 11 S1787N,
1835 14 L1835F,
1819 12 D1819N,
1786 11 L1786R, L1786Q, c.5356_5357delCT,
1807 12 c.5420dupA,
1861 12 V1861F, V1861I,
1815 13
1821 7
1798 6 W1798X,
1826 11 R1826C, R1826H,
1854 6
1825 7 L1825P,
1797 6 I1797V,
1800 10
1793 7 M1793K,
1789 10
1848 12
1817 7
1827 12
1498 14 M1498V, M1498R, M1498T,
1796 8
1799 10
1788 11 c.5361_5364delTGAG,
1638 14 R1638X, R1638Q,
1500 11 p.K1500del,
1859 15
1791 7
1852 12 D1852V,
1792 8 D1792N, D1792Y, D1792V,
1823 13 p.E1823HfsX10, E1823K,
1502 13 G1502A, G1502S,
1816 13 D1816N, D1816E, c.5445_5446insT,
1805 13
1497 13
1790 8 D1790G, p.D1790del, D1790N,
1809 11 I1809M,
1506 10 P1506T, P1506S,
1503 12 S1503Y,
1840 14
1822 9 c.5464-5467delTCTG, c.5464_5467delTCTG,