SCN5A Variant p.N841TfsX2

Summary of observed carriers, functional annotations, and structural context for SCN5A p.N841TfsX2. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

63%

3/11 effective observations

Estimated BrS1 penetrance

12%

1/11 effective observations

Total carriers

1

0 BrS1 · 1 LQT3 · 0 unaffected

p.N841TfsX2 has not been reported in gnomAD. This residue resides in a Mild_Hotspot region for Brugada syndrome and a Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 1 individuals for Brugada syndrome and 2 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 None 11 75

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
30059973 2018 1 1 0 0
Literature, cohort, and gnomAD 1 0 1 0
Variant features alone 15 12 2 1

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)
30059973 2018

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 p.N841TfsX2.
Neighbour residue Distance (Å) Observed variants
848 11 I848F,
937 10
839 7 L839P,
842 6
240 10 V240M,
231 11 c.692_693delCA,
1455 14
237 11
227 14 L227P,
836 8 V836M,
234 6 P234S,
934 11
933 11
229 11
845 7 c.2533delG,
232 10 V232F, V232I,
833 13 G833R, G833R,
940 14 S940N,
849 13
420 13
938 14
241 12
235 6 G235R, G235R, c.704-1G>C, c.703+1G>A,
840 4
843 7 T843A,
419 13 Q419X,
930 12 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
423 14
834 13 N834D,
837 5
239 7 I239V , I239V,
230 9 I230V, I230M, I230T,
242 12 A242D,
416 12 Y416C,
841 0 N841K, p.N841TfsX2, N841K,
236 7
847 11
941 14 S941N, S941F,
846 10 L846R,
936 14
238 8
233 5
838 5
844 6 L844RfsX3,
243 12
832 14
835 9 S835A, S835L,
931 15