SCN5A Variant F272C Detail

We estimate the penetrance of LQTS for SCN5A F272C around 15% and the Brugada syndrome penetrance around 22%. SCN5A F272C was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. F272C is not present in gnomAD. F272C has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 F272C around 15% (0/10) and the Brugada syndrome penetrance around 22% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.997 25 17
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 13 0 2 - -
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.

F272C has 78 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
328 14
364 11
277 11
271 4 L271V,
266 10 L266H,
326 15
276 6 L276Q, L276P,
363 14
387 14
348 13 P348A,
270 8 Q270K,
360 14
1627 14
279 15
396 12 V396L, V396A,
385 8 A385T,
1624 12 V1624I,
355 5 F355I, F355C,
1549 13
391 12
278 10 H278D, H278R,
388 11 I388S,
356 9 D356N,
361 9
332 14 A332T,
343 12
365 11
327 13
384 9 S384T,
354 8
329 13
386 9 G386R, G386E,
1546 15 M1546T,
378 12
1545 14
267 8
379 14
1550 11
262 15 S262G,
357 12
272 0
341 15 C341Y,
274 7 G274C,
362 14
273 7
325 12 L325R,
392 8
389 7 Y389H, Y389X,
269 7
1620 10 T1620M, T1620K,
395 13
393 10
394 15
390 13
275 5 N275K,
383 13
264 11
347 13
382 10
1548 13 E1548K, G1548K,
351 15 G351D, G351S, G351V, G351C,
265 10 A265V,
1619 13 P1619L, c.4856delC, P1619Q,
374 15 W374G,
358 13
367 14 R367C, R367L, R367H,
1551 15 D1551N, D1551Y,
263 14 V263I,
359 14 A359T, p.A359PfsX12,
381 7 c.1140+1G>A, c.1141-3C>A,
368 12
380 11
268 5 G268S,
377 10
1618 15
1621 14
353 11 T353I,
1623 11 R1623Q, c.4867delC, R1623L, R1623X,