SCN5A Variant F264L Detail

We estimate the penetrance of LQTS for SCN5A F264L around 13% and the Brugada syndrome penetrance around 10%. SCN5A F264L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F264L is not present in gnomAD. F264L has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_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 F264L around 13% (0/10) and the Brugada syndrome penetrance around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.855 2 13
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.

F264L has 67 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
403 13
364 11
271 10 L271V,
266 8 L266H,
363 13
404 12 L404Q, L404V,
270 11 Q270K,
1627 9
396 6 V396A, V396L,
1624 10 V1624I,
355 10 F355C, F355I,
391 11
401 11 S401P,
1634 15 L1634P,
371 14 Q371E,
1542 11
361 10
260 7
366 11
365 7
258 11 V258A,
354 15
1546 12 M1546T,
369 9 M369K,
1545 13
402 14 F402L,
1630 11 I1630R, I1630V,
1626 14 R1626C, R1626H, R1626L, R1626P,
267 5
1625 14
262 7 S262G,
357 15
256 12
399 9
272 11
397 10 I397V, I397T, I397F,
362 10
261 7
1628 10
392 7
389 13 Y389H, Y389X,
269 11
1620 14 T1620K, T1620M,
395 7
393 10
390 14
394 11
264 0
259 9
1633 14
265 6 A265V,
374 14 W374G,
358 11
367 13 R367L, R367C, R367H,
263 4 V263I,
359 14 A359T, p.A359PfsX12,
370 14 T370M,
381 15 c.1140+1G>A, c.1141-3C>A,
1631 12 G1631D,
368 9
268 8 G268S,
377 14
398 12
257 11
400 8 G400R, G400A, G400E,
1621 15
1623 13 R1623L, c.4867delC, R1623X, R1623Q,