SCN5A Variant L1239P

Summary of observed carriers, functional annotations, and structural context for SCN5A L1239P. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/12 effective observations

Estimated BrS1 penetrance

35%

4/12 effective observations

Total carriers

2

1 BrS1 · 0 LQT3 · 1 unaffected

L1239P is present in 1 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 3 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 (%)
-6.84 1 -5.59 0.996 39 0

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
20129283 2010 1 0 1 0
Literature, cohort, and gnomAD 2 1 0 1
Variant features alone 15 12 0 3

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)
20129283 2010

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 L1239P.
Neighbour residue Distance (Å) Observed variants
1245 10 M1245I, M1245I, M1245I,
1233 11 K1233E,
1218 9 S1218T, S1218I,
1304 12 T1304M,
1217 11
1243 7 D1243N,
1216 15 L1216V,
1234 9
1285 13
1299 14 c.3894delC,
1220 10 G1220E,
1673 13
1241 8
1226 10
1221 6 A1221V,
1242 6
1676 14 M1676T, M1676I, M1676I, M1676I
1219 10 S1219N,
1239 0 L1239P,
1306 11 R1306S, R1306H,
1244 11 K1244E,
1282 14 S1282A,
1246 10
1235 5
1302 14 p.L1302Vfs18,
1231 14 E1231K,
1247 13 T1247I,
1237 7 V1237F,
1307 14
1289 14
1228 13 Y1228H, Y1228C, Y1228F,
1223 10 c.3667delG,
1697 15
1222 7 p.L1222LfsX7, L1222R,
1230 12 E1230K,
1227 13
1229 8
1215 14 I1215V,
1301 12
1214 14 M1214T,
1677 14
1250 15
1224 9
1240 5 E1240Q,
1248 15
1225 6 E1225K, G1225K,
1232 14 R1232W, R1232Q,
1238 5
1236 7 K1236R, K1236N, K1236N,
1303 8 R1303W, R1303Q,