SCN5A Variant V728I

Summary of observed carriers, functional annotations, and structural context for SCN5A V728I. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

3%

0/14 effective observations

Estimated BrS1 penetrance

23%

3/14 effective observations

Total carriers

4

1 BrS1 · 0 LQT3 · 3 unaffected

V728I is present in 3 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 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 (%)
-0.95 0.083 2.71 0.638 35 5

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
22984773 2013 1 0 1 0
Literature, cohort, and gnomAD 4 3 0 1
Variant features alone 15 13 0 2

Totals may differ from individual publications due to duplicate patients removed during curation.

Functional data

Peak and late/persistent current values are relative to wild-type (100% indicates no change). V1/2 activation and inactivation denote the membrane potentials (mV) at which half-maximal current is achieved.

Published electrophysiology measurements.
PubMed ID Year Cell Type Peak Current (% WT) V1/2 Activation (mV) V1/2 Inactivation (mV) Late/Persistent Current (% WT)
22984773 2013

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 V728I.
Neighbour residue Distance (Å) Observed variants
719 15
723 10 I723V,
811 14 R811G, R811H, c.2435_2436+3delTGGTAinsCGCCT,
733 9 F733L,
821 10
1339 14 L1339F, p.L1339del,
760 12 p.F760SfsX5,
721 11
812 13 L812Q,
1350 14 I1350L, I1350T,
759 13 I759V, c.2274delG, p.I759FfsX6,
755 14
731 5 T731I,
819 13
726 6
818 8
825 15
720 13
822 11 W822C, W822X,
749 14
1346 12 L1346I, L1346P,
724 6 T724I,
728 0 V728I,
820 14
727 5
735 10 A735V, A735E, A735T,
732 6
734 10 c.2201dupT, M734V,
756 10
814 10 R814Q,
816 13 F816Y, F816L,
722 10
813 15 c.2437-5C>A, c.2436+12G>A,
757 14
817 11 K817E,
752 13 G752R,
815 9
1343 12
1342 14
725 6
736 14 L736P,
730 7 N730K,
753 13
1347 14
729 4 p.L729del,