SCN5A Variant R474S

Summary of observed carriers, functional annotations, and structural context for SCN5A R474S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

0/10 effective observations

Estimated BrS1 penetrance

0/10 effective observations

Total carriers

0 BrS1 · 0 LQT3 · 0 unaffected

R474S has not been reported in gnomAD. This residue resides in a Non_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 0 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	0.35	7	0

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	15	0	0	–	–

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 R474S.
Neighbour residue	Distance (Å)	Observed variants
459	15	S459G,
460	14
461	14	L461V,
462	13	E462A, E462K,
463	13	M463R, M463T
464	12
465	11	p.P465LfsX5,
466	11	L466F, L466F,
467	10
468	9	P468L,
469	8	V469I,
470	8	N470K, N470K,
471	7
472	5
473	4	E473X,
474	0	R474G, R474K,
475	4	R475S, R475K, R475S,
476	5
477	7	c.1428_1431delCAAG,
478	8
479	8
480	9	K480N, K480N,
481	10	R481W, R481Q,
482	11	M482I, M482I, M482I,
483	11
484	12
485	13
486	13	T486S, T486S, T486A,
487	14
488	14
489	15