SCN5A Variant F1808L Detail

We estimate the penetrance of LQTS for SCN5A F1808L around 11% and the Brugada syndrome penetrance around 26%. SCN5A F1808L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1808L is not present in gnomAD. F1808L has been functionally characterized in 0 papers. This residue is located in a Mild_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (2 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 F1808L around 11% (0/10) and the Brugada syndrome penetrance around 26% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.963 32 10
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 0 2 - -
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.

F1808L has 39 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 7 C1850S,
1803 12
1814 12
1794 13
1849 5 H1849R,
1806 5 p.Thr1806SerfsX27,
1853 10 I1853V,
1795 12 Y1795H, Y1795C, Y1795N, p.Y1795_E1796insD,
1813 12
1801 12
1802 8
1811 12 Y1811X, Y1811N,
1843 7
1851 10 M1851I, M1851V,
1857 15
1507 14 p.Q1507_P1509del,
1505 13 p.K1505_Q1507del, K1505N,
1812 13 S1812X, S1812L,
1509 15 P1509T,
1808 0
1804 10
1807 5 c.5420dupA,
1798 9 W1798X,
1854 12
1848 6
1817 13
1846 10
1799 14
1844 10
1852 9 D1852V,
1805 9
1842 10 M1842V, M1842L, M1842T,
1810 9
1809 6 I1809M,
1506 11 P1506T, P1506S,
1841 10
1847 5 R1847C, R1847H,
1845 9 G1845R,
1840 12