SCN5A Variant F1817C Detail

We estimate the penetrance of LQTS for SCN5A F1817C around 6% and the Brugada syndrome penetrance around 15%. SCN5A F1817C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1817C is not present in gnomAD. F1817C 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 (1 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 F1817C around 6% (0/10) 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 0.965 11 4
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 0 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.

F1817C has 63 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 10 C1850S,
1855 15
1803 13
1814 6
1794 7
1849 12 H1849R,
1856 12
1806 14 p.Thr1806SerfsX27,
1853 8 I1853V,
1795 10 Y1795H, Y1795N, p.Y1795_E1796insD, Y1795C,
1828 11 A1828T, A1828S,
1834 13 S1834R,
1813 7
1818 4
1801 6
1824 13 P1824A,
1838 13
1802 10
1832 13 Q1832E,
1820 6 A1820V, A1820T,
1811 11 Y1811N, Y1811X,
1851 14 M1851I, M1851V,
1860 13 c.5577_5578dupAA,
1857 8
1507 14 p.Q1507_P1509del,
1812 11 S1812X, S1812L,
1858 13
1829 11
1808 13
1835 10 L1835F,
1819 7 D1819N,
1807 14 c.5420dupA,
1861 14 V1861F, V1861I,
1815 7
1821 5
1798 7 W1798X,
1826 10 R1826H, R1826C,
1854 10
1825 9 L1825P,
1797 6 I1797V,
1800 9
1793 10 M1793K,
1848 10
1817 0
1827 8
1796 11
1799 11
1791 13
1852 12 D1852V,
1792 14 D1792V, D1792Y, D1792N,
1823 13 E1823K, p.E1823HfsX10,
1816 6 D1816E, c.5445_5446insT, D1816N,
1805 15
1831 10
1810 11
1790 13 D1790G, D1790N, p.D1790del,
1809 8 I1809M,
1506 14 P1506S, P1506T,
1841 15
1847 14 R1847C, R1847H,
1830 14
1840 12
1822 10 c.5464-5467delTCTG, c.5464_5467delTCTG,