SCN5A Variant N420I

Summary of observed carriers, functional annotations, and structural context for SCN5A N420I. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

15%

0/10 effective observations

Estimated BrS1 penetrance

13%

1/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

N420I has not been reported in gnomAD. This residue resides in a Non_Hotspot region for Brugada syndrome and a Mild_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 0.846 9 16

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 N420I.
Neighbour residue Distance (Å) Observed variants
414 11 M414V,
939 11 L939F,
937 9
839 14 L839P,
842 13
943 13 S943N,
240 12 V240M,
418 8 E418K,
237 11
234 15 P234S,
417 5
934 14
933 11
246 13
935 14 L935P,
412 12 V412D,
245 13 Q245K,
244 14
415 9 A415T,
940 7 S940N,
420 0
938 13
241 10
235 11 c.703+1G>A, G235R, G235R, c.704-1G>C,
942 14
419 5 Q419X,
423 6
834 14 N834D,
837 13
239 10 I239V, I239V ,
1780 15 E1780G
242 9 A242D,
416 5 Y416C,
413 10 A413T, A413E,
841 13 p.N841TfsX2, N841K, N841K,
236 13
941 10 S941N, S941F,
936 10
238 6
838 10
422 6
421 5
411 14 V411M,
243 13
835 13 S835A, S835L,