SCN5A Variant E491D

Summary of observed carriers, functional annotations, and structural context for SCN5A E491D. 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

E491D 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	0.29	0	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 E491D.
Neighbour residue	Distance (Å)	Observed variants
476	15
477	14	c.1428_1431delCAAG
478	14
479	13
480	13	K480N,
481	12	R481W, R481Q,
482	11	M482I,
483	11
484	10
485	9
486	8	T486S, T486A,
487	8
488	7
489	5
490	4	G490A, G490E,
491	0	E491G,
492	4
493	5	R493K,
494	7
495	8
496	8	K496M, K496N,
497	9	S497C,
498	10
499	11
500	11	E500K,
501	12	D501G,
502	13
503	13	P503S,
504	14	R504T,
505	14	A505E,
506	15	M506K,