SCN5A Variant L844RfsX3

Summary of observed carriers, functional annotations, and structural context for SCN5A L844RfsX3. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

14%

0/11 effective observations

Estimated BrS1 penetrance

54%

5/11 effective observations

Total carriers

1

1 BrS1 · 0 LQT3 · 0 unaffected

L844RfsX3 has not been reported in gnomAD. This residue resides in a Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 4 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 None 73 19

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
29574140 2018 1 0 1 0
Literature, cohort, and gnomAD 1 0 0 1
Variant features alone 15 11 0 4

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)
29574140 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 L844RfsX3.
Neighbour residue Distance (Å) Observed variants
888 14
848 6 I848F,
937 14
895 15 L895F,
839 9 L839P,
842 7
240 12 V240M,
231 11 c.692_693delCA,
1455 12
1452 14
926 14
237 14
228 14 K228R,
138 14 M138I, M138I, M138I,
227 12 L227P,
836 11 V836M,
234 9 P234S,
1451 14 V1451L, V1451D,
142 12
934 12
933 13
229 9
851 11 c.2550_2551dupGT, F851L, p.F851CfsX19, c.2552_2553dupGT, F851L, F851L,
852 13
845 5 c.2533delG,
232 9 V232I, V232F,
892 15 F892I,
849 10
226 12 A226G, A226V,
235 11 c.703+1G>A, G235R, G235R, c.704-1G>C,
840 5
843 5 T843A,
1456 14
930 12 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
1459 14 c.4376_4379delTCTT
837 9
239 10 I239V, I239V ,
230 8 I230V, I230T, I230M,
242 15 A242D,
841 6 p.N841TfsX2, N841K, N841K,
236 10
847 6
846 7 L846R,
238 13
233 6
838 10
141 15 I141V, I141N,
853 15
844 0 L844RfsX3,
850 11 V850M, c.2549_2550insTG,
243 13
835 13 S835A, S835L,
145 13
931 14