SCN5A Variant Q1366H

Summary of observed carriers, functional annotations, and structural context for SCN5A Q1366H. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/11 effective observations

Estimated BrS1 penetrance

13%

1/11 effective observations

Total carriers

1

0 BrS1 · 0 LQT3 · 1 unaffected

Q1366H 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 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 (%)
-1.24 0.486 0.29 0.605 15 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
Literature, cohort, and gnomAD 1 1 0 0
Variant features alone 15 14 0 1

Totals may differ from individual publications due to duplicate patients removed during curation.

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 Q1366H.
Neighbour residue Distance (Å) Observed variants
1727 13
1391 15 G1391R, G1391R,
1366 0 Q1366H, Q1366H, Q1366R,
1381 13
1396 9
1362 13 c.4083delG, R1362S, R1362S,
1379 9
1394 5 Y1394X,
1393 9 L1393X,
1378 6 V1378M,
1361 15
1726 14
1399 14
1395 13
1397 14 c.4190delA, c.4189delT,
1363 10 C1363Y,
1365 6 N1365S,
1380 12 p.N1380del, N1380K, N1380K,
1392 13
1364 7 I1364V,
1367 5
1398 14 V1398M,