SCN5A Variant V396A

Summary of observed carriers, functional annotations, and structural context for SCN5A V396A. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

11%

0/11 effective observations

Estimated BrS1 penetrance

53%

5/11 effective observations

Total carriers

1

1 BrS1 · 0 LQT3 · 0 unaffected

V396A has not been reported in gnomAD. This residue resides in a Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 4 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 (%)
-3.92 0.999 -2.38 0.977 71 19

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
20129283 2010 1 0 1 0
Literature, cohort, and gnomAD 1 0 0 1
Variant features alone 15 11 0 4

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

Functional data

Peak and late/persistent current values are relative to wild-type (100% indicates no change). V1/2 activation and inactivation denote the membrane potentials (mV) at which half-maximal current is achieved.

Published electrophysiology measurements.
PubMed ID Year Cell Type Peak Current (% WT) V1/2 Activation (mV) V1/2 Inactivation (mV) Late/Persistent Current (% WT)
20129283 2010

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 V396A.
Neighbour residue Distance (Å) Observed variants
403 10
364 10
271 13 L271V,
266 13 L266H,
363 13
404 10 L404V, L404Q,
1627 14
396 0 V396L, V396A,
1624 14 V1624I,
355 12 F355I, F355C,
391 10
372 13
401 7 S401P,
388 15 I388S,
371 9 Q371E,
361 12
260 9
366 10
365 7
1706 14 Q1706H, Q1706H,
258 14 V258A,
369 7 M369K,
1767 14 Y1767C
378 11
402 9 F402L, F402L, F402L,
373 14
267 9
262 12 S262G,
256 14
399 7
272 12
397 4 I397V, I397F, I397T,
405 12
1657 15
362 12
261 9
1709 12 p.T1709del, T1709R, T1709M,
1628 15
392 6
389 12 Y389H, Y389X,
269 14
395 5
393 6
390 11
394 7
1658 15
264 6
1708 14 T1708I,
259 13
382 14
265 10 A265V,
374 10 W374G,
1705 12
358 15
367 11 R367C, R367H, R367L,
263 10 V263I,
370 10 T370M,
1661 15 G1661R, G1661R, G1661E,
381 13 c.1140+1G>A, c.1141-3C>A,
406 14 N406S, N406K, N406K,
368 5
268 10 G268S,
377 11
398 8
257 12
400 6 G400R, G400R, G400E, G400A,