SCN5A Variant R481Q

Summary of observed carriers, functional annotations, and structural context for SCN5A R481Q. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

3%

0/15 effective observations

Estimated BrS1 penetrance

2%

0/15 effective observations

Total carriers

5

0 BrS1 · 0 LQT3 · 5 unaffected

R481Q is present in 5 alleles 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 (%)
-1.82 0.007 0.82 0.241 2 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 5 5 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 R481Q.
Neighbour residue Distance (Å) Observed variants
466 15 L466F, L466F,
467 14
468 14 P468L,
469 13 V469I,
470 13 N470K, N470K,
471 12
472 11
473 11 E473X,
474 10 R474G, R474K,
475 9 R475K, R475S, R475S,
476 8
477 8 c.1428_1431delCAAG,
478 7
479 5
480 4 K480N, K480N,
481 0 R481W, R481Q,
482 4 M482I, M482I, M482I,
483 5
484 7
485 8
486 8 T486A, T486S, T486S,
487 9
488 10
489 11
490 11 G490E, G490A,
491 12 E491G,
492 13
493 13 R493K,
494 14
495 14
496 15 K496M, K496N, K496N