SCN5A Variant L448P

Summary of observed carriers, functional annotations, and structural context for SCN5A L448P. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

12%

0/10 effective observations

Estimated BrS1 penetrance

22%

2/10 effective observations

Total carriers

0

0 BrS1 · 0 LQT3 · 0 unaffected

L448P has not been reported in gnomAD. This residue resides in a Mild_Hotspot region for Brugada syndrome and a Mild_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 0.673 28 12

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 L448P.
Neighbour residue Distance (Å) Observed variants
433 15 R433S, R433C, R433H,
434 14
435 14
436 13
437 13 A437V,
438 12 M438L, M438T, M438L,
439 11 E439K, E439V,
440 11
441 10 L441F,
442 9
443 8
444 8 E444fsX14,
445 7 H445D, H445Q, H445Y, H445Q,
446 5 E446K,
447 4 c.1338+2T>A, A447S, c.1339-24G>A, A447G
448 0
449 4 T449A, Y449C,
450 5
451 7
452 8 G452D,
453 8 V453M,
454 9
455 10
456 11 V456M,
457 11
458 12 R458C, p.R458VfsX12, R458H,
459 13 S459G,
460 13
461 14 L461V,
462 14 E462A, E462K,
463 15 M463R, M463T,