SCN5A Variant F1857V Detail

We estimate the penetrance of LQTS for SCN5A F1857V around 6% and the Brugada syndrome penetrance around 31%. SCN5A F1857V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F1857V is not present in gnomAD. F1857V has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 F1857V around 6% (0/10) and the Brugada syndrome penetrance around 31% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.94 41 3
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 12 0 3 - -
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.

F1857V has 71 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 8
1814 9
1785 14
1794 8
1849 12 H1849R,
1856 4
1853 5 I1853V,
1795 12 Y1795N, Y1795H, Y1795C, p.Y1795_E1796insD,
1828 11 A1828S, A1828T,
1834 9 S1834R,
1813 13
1818 7
1833 14 I1833M,
1801 14
1866 15
1824 9 P1824A,
1838 7
1832 13 Q1832E,
1820 11 A1820V, A1820T,
1504 14 K1504E,
1811 13 Y1811X, Y1811N,
1863 11
1851 11 M1851V, M1851I,
1501 11 p.L1501_K1505del, L1501V,
1860 6 c.5577_5578dupAA,
1857 0
1862 11
1858 6
1829 14
1808 15
1865 14
1787 15 S1787N,
1835 8 L1835F,
1819 11 D1819N,
1786 11 L1786R, L1786Q, c.5356_5357delCT,
1861 8 V1861I, V1861F,
1864 11
1815 11
1821 8
1798 11 W1798X,
1826 10 R1826C, R1826H,
1854 6
1825 6 L1825P,
1797 12 I1797V,
1793 13 M1793K,
1848 11
1817 8
1827 7
1498 13 M1498R, M1498T, M1498V,
1839 10 D1839G,
1500 14 p.K1500del,
1859 8
1791 11
1852 9 D1852V,
1792 15 D1792Y, D1792V, D1792N,
1823 12 E1823K, p.E1823HfsX10,
1502 15 G1502S, G1502A,
1816 13 D1816N, D1816E, c.5445_5446insT,
1842 15 M1842T, M1842V, M1842L,
1837 11
1831 11
1836 12 I1836T,
1497 13
1790 12 p.D1790del, D1790G, D1790N,
1809 12 I1809M,
1494 15
1841 12
1830 15
1840 8
1822 11 c.5464-5467delTCTG, c.5464_5467delTCTG,