SCN5A Variant R526C

Summary of observed carriers, functional annotations, and structural context for SCN5A R526C. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

2%

0/22 effective observations

Estimated BrS1 penetrance

8%

1/22 effective observations

Total carriers

12

0 BrS1 · 0 LQT3 · 12 unaffected

R526C is present in 12 alleles 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 1 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 (%)
-5.5 0.964 -1.26 0.66 14 1

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 12 12 0 0
Variant features alone 15 14 0 1

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 R526C.
Neighbour residue Distance (Å) Observed variants
511 15
512 14 T512I,
513 14 R513C, c.1537delC, R513H, R513P,
514 13 G514C,
515 13
516 12
517 11 R517S, R517S,
518 11
519 10 S519F,
520 9 M520V, M520R,
521 8 K521E, c.1562delA,
522 8 P522S,
523 7 R523S, R523C, R523H,
524 5 c.1570_1571insG, S524Y,
525 4 S525G,
526 0 R526C, R526H,
527 4 G527R, G527R,
528 5 S528R, S528R, S528R,
529 7
530 8 F530V, F530S,
531 8 T531A, T531I,
532 9 F532L, F532C, F532L, F532L,
533 10 R533S, R533C, R533H,
534 11
535 11 R535G, R535X, R535Q,
536 12 D536H,
537 13
538 13 G538D
539 14
540 14
541 15