SCN5A Variant S1966F Detail

We estimate the penetrance of LQTS for SCN5A S1966F around 2% and the Brugada syndrome penetrance around 7%. SCN5A S1966F was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S1966F is not present in gnomAD. S1966F has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 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 S1966F around 2% (0/10) and the Brugada syndrome penetrance around 7% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.466 2 0
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 15 0 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.

S1966F has 31 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
1951 15 V1951M, V1951L,
1952 14
1953 14 p.S1953RfsX84,
1954 13 E1954K,
1955 13 N1955Y,
1956 12
1957 11 S1957P,
1958 11 R1958P, R1958Q, R1958X,
1959 10
1960 9
1961 8
1962 8 P1962S, P1962L,
1963 7 P1963L,
1964 5 S1964F,
1965 4 S1965G, S1965N,
1966 0
1967 4 p.S1967LfsX12,
1968 5 I1968T, I1968S, I1968M, I1968N, I1968V,
1969 7
1970 8 p.S1970_S1972del,
1971 8
1972 9
1973 10 F1973L,
1974 11
1975 11 P1975T,
1976 12 S1976C,
1977 13 Y1977N,
1978 13
1979 14
1980 14 V1980F,
1981 15