SCN5A Variant Y1811F Detail

We estimate the penetrance of LQTS for SCN5A Y1811F around 47% and the Brugada syndrome penetrance around 5%. SCN5A Y1811F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Y1811F is not present in gnomAD. Y1811F has been functionally characterized in 1 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 (0 diagnosed with Brugada syndrome) and 5 individuals for LQTS (2 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A Y1811F around 47% (2/10) and the Brugada syndrome penetrance around 5% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
-0.27 0.622 0.93 0.483 4 63
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 2 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.

Functional Data

Peak and late/persistent current are relative to wildtype (100% being no different from wildtype). V0.5 act/inact are the voltages at which half of the maximal current is reached during an activation and inactivation protocol, each is in units of mV and relative to wildtype.
PubMed ID Year Cell Type Peak Current (%WT) V1/2 Act. (mV) V1/2 Inact. (mV) Late/Persistent Current (%WT)
29734505 2018 HEK -0.7 1.5

Y1811F has 41 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
1852 12 D1852V,
1850 14 C1850S,
1798 14 W1798X,
1811 0 Y1811N, Y1811X,
1843 11
1814 6
1816 10 c.5445_5446insT, D1816E, D1816N,
1849 13 H1849R,
1856 14
1857 13
1842 7 M1842V, M1842T, M1842L,
1853 11 I1853V,
1837 13
1848 7
1812 5 S1812L, S1812X,
1831 11
1817 11
1829 14
1834 12 S1834R,
1808 12
1810 7
1836 9 I1836T,
1813 7
1846 6
1827 13
1835 8 L1835F,
1839 13 D1839G,
1818 12
1833 12 I1833M,
1809 8 I1809M,
1819 14 D1819N,
1801 13
1844 12
1841 10
1838 12
1847 10 R1847C, R1847H,
1845 10 G1845R,
1832 8 Q1832E,
1830 15
1840 8
1815 8