SCN5A Variant A422S

Summary of observed carriers, functional annotations, and structural context for SCN5A A422S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

18%

0/10 effective observations

Estimated BrS1 penetrance

11%

1/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

A422S 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 0.769 6 21

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 A422S.
Neighbour residue Distance (Å) Observed variants
414 13 M414V,
249 15 K249X,
240 14 V240M,
418 7 E418K,
237 11
417 9
246 15
245 12 Q245K,
244 14
415 10 A415T,
940 14 S940N,
420 6
241 11
235 13 c.704-1G>C, G235R, c.703+1G>A, G235R,
419 5 Q419X,
423 4
239 13 I239V , I239V,
1780 14 E1780G,
242 11 A242D,
416 10 Y416C,
413 14 A413E, A413T,
236 14
1783 15
238 9
422 0
421 5