SCN5A Variant I388N

Summary of observed carriers, functional annotations, and structural context for SCN5A I388N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

5%

0/10 effective observations

Estimated BrS1 penetrance

17%

1/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

I388N has not been reported in gnomAD. This residue resides in a Mild_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 1 individuals for Brugada syndrome and 0 individuals for LQT3.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.761 17 2

PROVEAN scores below -2 suggest deleterious impact. REVEL scores above 0.5–0.75 are often interpreted as likely pathogenic. PolyPhen-2 scores above 0.85 are typically pathogenic. Penetrance density summarises neighbouring residue risk (Kroncke et al. 2019).

Reported carrier data

Observed carriers by publication or cohort.
Source Year Carriers Unaffected LQT3 BrS1 Other Other Disease
Literature, cohort, and gnomAD 0 0 0 0
Variant features alone 15 14 0 1

Totals may differ from individual publications due to duplicate patients removed during curation.

Nearby variants

Neighbouring residues within 15 Ångström provide structural context. Variants listed in the right-most column have been observed clinically or in gnomAD.

Previously observed variants near I388N.
Neighbour residue Distance (Å) Observed variants
328 12
333 13 c.998+5G>A, c.998+1G>A,
271 11 L271V,
1702 10
276 15 L276Q, L276P,
387 5
396 15 V396A, V396L,
385 7 A385T,
1624 14 V1624I,
391 7
330 8 S330F,
388 0 I388S,
1698 10 A1698T,
334 15 c.999-424_1338+81del,
332 9 A332T,
327 13
384 11 S384T,
329 9
1692 13
386 5 G386R, G386R, G386E,
378 11
1699 12
331 9
267 14
379 14
1703 15
272 11
1701 12 M1701I, M1701I, M1701I,
392 10
1697 13
389 4 Y389X, Y389H,
1620 11 T1620M, T1620K,
395 12
393 10
390 6
394 11
275 13 N275K, N275K,
383 13
382 8
1619 15 c.4856delC, P1619Q, P1619L,
1696 15
1705 12
1700 14
381 10 c.1140+1G>A, c.1141-3C>A,
1691 12
380 15
268 14 G268S,
1618 14
1621 12