SCN5A Variant E1240Q

Summary of observed carriers, functional annotations, and structural context for SCN5A E1240Q. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/21 effective observations

Estimated BrS1 penetrance

13%

2/21 effective observations

Total carriers

11

1 BrS1 · 0 LQT3 · 10 unaffected

E1240Q is present in 10 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 (%)
-2.75 0.95 1.76 0.928 19 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
11901046 2002 1 0 1 0
30059973 2018 1 1 0 0
Literature, cohort, and gnomAD 11 10 0 1
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)
30059973 2018
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 E1240Q.
Neighbour residue Distance (Å) Observed variants
1245 10 M1245I,
1233 11 K1233E,
1218 12 S1218T, S1218I,
1281 14 c.3840+1G>A, V1281F,
1304 13 T1304M,
1217 15
1243 5 D1243N,
1234 11
1285 9
1299 11 c.3894delC,
1220 14 G1220E,
1298 13 P1298L,
1283 14 L1283M,
1241 7
1226 13
1288 12 A1288G,
1221 11 A1221V,
1242 6
1219 14 S1219N,
1239 5 L1239P,
1306 12 R1306H, R1306S,
1244 8 K1244E,
1286 11
1282 12 S1282A,
1235 9
1246 11
1302 13 p.L1302Vfs18,
1247 11 T1247I,
1237 6 V1237F,
1289 9
1223 14 c.3667delG,
1222 11 p.L1222LfsX7, L1222R,
1230 12 E1230K,
1300 14
1229 10
1301 12
1292 14
1284 13
1291 15
1250 15
1224 14
1240 0 E1240Q,
1225 9 E1225K, G1225K,
1248 12
1287 14
1290 14
1238 7
1236 7 K1236R, K1236N
1249 15 V1249D,
1303 8 R1303W, R1303Q,