SCN5A Variant E1053K

Summary of observed carriers, functional annotations, and structural context for SCN5A E1053K. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

5%

2/50 effective observations

Estimated BrS1 penetrance

13%

6/50 effective observations

Total carriers

40

5 BrS1 · 2 LQT3 · 33 unaffected

E1053K is present in 28 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 (%)
-3.73 0.999 -0.22 0.872 15 2

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
11076825 2000 1 0 1 0
11901046 2002 1 0 1 0
19026623 2009 1 1 0 0
23321620 2013 1 0 1 0
26746457 2016 1 0 0 0
28391114 2017 5 0 0 1 SUDS
19716085 2009 1 1 0 0
20129283 2010 3 0 3 0
29579189 2018 1 0 0 1 Afib
30059973 2018 1 1 0 0
Literature, cohort, and gnomAD 40 33 2 5
Variant features alone 15 14 0 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)
19026623 2009
23321620 2013
26746457 2016
28391114 2017
19716085 2009
15579534 2004 HEK 100 -8.3 -4.7
20129283 2010
24573164 2014 HEK 75 3.71
29579189 2018
30059973 2018
11076825 2000
11901046 2002

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 E1053K.
Neighbour residue Distance (Å) Observed variants
1038 15
1039 14
1040 14 G1040R, G1040R,
1041 13 D1041G, D1041N,
1042 13
1043 12 E1043K,
1044 11
1045 11 V1045M,
1046 10
1047 9 c.3140_3141dupTG,
1048 8 p.P1048SfsX96, c.3142_3143insTG, P1048S,
1049 8
1050 7 p.A1050CfsX9, A1050T, p.A1050DfsX9,
1051 5 V1051A,
1052 4 A1052D, p.A1052CfsX7
1053 0 E1053K,
1054 4
1055 5 D1055G,
1056 7 T1056A,
1057 8
1058 8 c.3171_3172delTGinsA,
1059 9 Q1059X,
1060 10
1061 11 E1061D, E1061D,
1062 11 D1062H,
1063 12 E1063G,
1064 13 p.E1064del,
1065 13
1066 14 S1066G,
1067 14 L1067R,
1068 15 G1068A, G1068D,