SCN5A Variant F1801C Detail

We estimate the penetrance of LQTS for SCN5A F1801C around 25% and the Brugada syndrome penetrance around 15%. SCN5A F1801C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1801C is not present in gnomAD. F1801C 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 F1801C around 25% (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 0.967 13 31
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.

F1801C has 46 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 12 C1850S,
1803 8
1814 9
1794 10
1849 14 H1849R,
1806 12 p.Thr1806SerfsX27,
1853 12 I1853V,
1795 11 Y1795N, Y1795H, Y1795C, p.Y1795_E1796insD,
1813 6
1818 9
1801 0
1802 7
1820 8 A1820V, A1820T,
1811 13 Y1811X, Y1811N,
1857 14
1507 12 p.Q1507_P1509del,
1812 10 S1812L, S1812X,
1509 11 P1509T,
1829 14
1808 12
1835 15 L1835F,
1804 11
1819 11 D1819N,
1807 13 c.5420dupA,
1815 10
1821 10
1798 6 W1798X,
1826 14 R1826C, R1826H,
1854 14
1825 14 L1825P,
1797 6 I1797V,
1800 5
1793 12 M1793K,
1848 12
1817 6
1827 14
1796 11
1799 8
1816 7 D1816N, D1816E, c.5445_5446insT,
1805 12
1831 15
1810 9
1809 7 I1809M,
1506 13 P1506T, P1506S,
1847 14 R1847H, R1847C,
1822 13 c.5464-5467delTCTG, c.5464_5467delTCTG,