SCN5A Variant F1855V Detail

We estimate the penetrance of LQTS for SCN5A F1855V around 7% and the Brugada syndrome penetrance around 18%. SCN5A F1855V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1855V is not present in gnomAD. F1855V 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 F1855V around 7% (0/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.93 18 5
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.

F1855V has 56 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 0
1814 15
1785 14
1794 12
1849 11 H1849R,
1856 4
1853 8 I1853V,
1795 14 Y1795C, p.Y1795_E1796insD, Y1795N, Y1795H,
1834 14 S1834R,
1879 13
1881 14
1818 15
1880 9 M1880V,
1824 14 P1824A,
1838 9
1504 13 K1504E,
1875 15 p.M1875dup, M1875K, M1875T,
1863 12
1851 8 M1851V, M1851I,
1501 7 L1501V, p.L1501_K1505del,
1860 10 c.5577_5578dupAA,
1857 8
1874 12
1862 10
1858 6
1835 13 L1835F,
1786 12 L1786Q, c.5356_5357delCT, L1786R,
1861 10 V1861I, V1861F,
1495 14 Y1495S,
1864 14
1798 15 W1798X,
1878 15
1496 14
1854 6
1825 12 L1825P,
1848 12
1499 12
1817 15
1877 10 E1877K,
1827 14
1498 7 M1498R, M1498V, M1498T,
1839 7 D1839G,
1500 12 p.K1500del,
1859 5
1876 9
1791 12
1852 7 D1852V,
1502 10 G1502S, G1502A,
1837 13
1497 10
1790 15 D1790N, D1790G, p.D1790del,
1494 10
1841 11
1503 13 S1503Y,
1840 9