SCN5A Variant I391N

Summary of observed carriers, functional annotations, and structural context for SCN5A I391N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

12%

0/10 effective observations

Estimated BrS1 penetrance

25%

2/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

I391N has not been reported in gnomAD. This residue resides in a Mild_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 2 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 0.944 30 12

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 13 0 2

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 I391N.
Neighbour residue Distance (Å) Observed variants
271 11 L271V,
1702 11
387 10
396 10 V396A, V396L,
385 12 A385T,
1624 12 V1624I,
391 0
330 15 S330F,
388 7 I388S,
1698 13 A1698T,
365 15
1704 15 L1704H,
1706 14 Q1706H, Q1706H,
1668 14 M1668T,
386 10 G386R, G386R, G386E,
378 11
1699 15
331 15
402 15 F402L, F402L, F402L,
1665 13
267 11
1625 15
399 11
272 12
397 11 I397F, I397V, I397T,
1628 15
1701 12 M1701I, M1701I, M1701I,
392 6
1697 15
389 7 Y389H, Y389X,
1620 12 T1620M, T1620K,
395 6
393 7
390 5
394 5
264 11
382 11
374 14 W374G,
1705 10
263 15 V263I,
1661 14 G1661R, G1661R, G1661E,
381 12 c.1141-3C>A, c.1140+1G>A,
368 13
268 13 G268S,
377 15
398 11
400 14 G400E, G400R, G400R, G400A,
1621 12
1664 14
1658 15