SCN5A Variant K442M

Summary of observed carriers, functional annotations, and structural context for SCN5A K442M. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

5%

0/10 effective observations

Estimated BrS1 penetrance

22%

2/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

K442M 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 0.618 27 3

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 K442M.
Neighbour residue Distance (Å) Observed variants
427 15
428 14 E428K,
429 14 E429K, p.E429del,
430 13 K430E,
431 13
432 12
433 11 R433S, R433C, R433H,
434 11
435 10
436 9
437 8 A437V,
438 8 M438L, M438L, M438T,
439 7 E439K, E439V,
440 5
441 4 L441F,
442 0
443 4
444 5 E444fsX14,
445 7 H445D, H445Y, H445Q, H445Q,
446 8 E446K,
447 8 c.1338+2T>A, c.1339-24G>A, A447S, A447G,
448 9
449 10 T449A, Y449C,
450 11
451 11
452 12 G452D,
453 13 V453M,
454 13
455 14
456 14 V456M
457 15