SCN5A Variant M440I

Summary of observed carriers, functional annotations, and structural context for SCN5A M440I. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

3%

0/10 effective observations

Estimated BrS1 penetrance

24%

2/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

M440I 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 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 0.316 33 1

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 M440I.
Neighbour residue Distance (Å) Observed variants
425 15 A425T, A425P,
426 14
427 14
428 13 E428K,
429 13 p.E429del, E429K,
430 12 K430E,
431 11
432 11
433 10 R433C, R433S, R433H,
434 9
435 8
436 8
437 7 A437V
438 5 M438L, M438T, M438L,
439 4 E439K, E439V,
440 0
441 4 L441F,
442 5
443 7
444 8 E444fsX14,
445 8 H445Q, H445Q, H445D, H445Y,
446 9 E446K,
447 10 A447G, c.1338+2T>A, c.1339-24G>A, A447S,
448 11
449 11 T449A, Y449C,
450 12
451 13
452 13 G452D,
453 14 V453M,
454 14
455 15