SCN5A Variant G1406R

Summary of observed carriers, functional annotations, and structural context for SCN5A G1406R. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/15 effective observations

Estimated BrS1 penetrance

67%

10/15 effective observations

Total carriers

5

4 BrS1 · 0 LQT3 · 1 unaffected

G1406R has not been reported in gnomAD. This residue resides in a Hotspot region for Brugada syndrome and a Non_Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 6 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 (%)
-6.48 1 -4.09 0.981 88 1

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
11748104 2001 13 0 4 8 CCCD
12106943 2002 1 0 1 0
26921764 2016 1 0 1 0
20129283 2010 1 0 1 0
29325976 2018 1 0 1 0
30059973 2018 2 2 0 0
Literature, cohort, and gnomAD 5 1 0 4
Variant features alone 15 9 0 6

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)
29325976 2018
16632547 2006 HEK 8 3.4 -6.3
30059973 2018
11748104 2001 COS 0
11748091 2001
12106943 2002
14716629 2003
26921764 2016
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 G1406R.
Neighbour residue Distance (Å) Observed variants
1403 9
1746 12 A1746V, A1746T,
1357 12 A1357V,
1724 14
1352 11
1406 0 G1406R, G1406R, G1406E,
1453 15
1351 14 M1351V, M1351R,
739 13
1745 13
1397 14 c.4189delT, c.4190delA,
1350 11 I1350T, I1350L,
1723 12 T1723N,
731 15 T731I,
1398 14 V1398M,
1411 8
1353 10 V1353M
1407 3
737 12
1410 6
1714 15 D1714G,
1358 14 G1358R, G1358W, G1358R,
1348 13 F1348L, F1348L, F1348L,
1404 5
1721 13
1349 8
1753 12 T1753A,
1346 10 L1346I, L1346P,
1341 15
1356 13 c.4066_4068delTT,
1412 9 L1412F,
1408 5 G1408R, G1408R,
735 10 A735V, A735T, A735E,
732 14
1360 14 F1360C,
734 14 c.2201dupT, M734V,
1401 8
1399 13
1354 14
1424 14 I1424V,
1748 13 p.G1748del, G1748D,
738 11
1405 4 V1405M, V1405L, V1405L,
740 15 p.N740del,
1409 6 Y1409X, Y1409C,
1400 10 V1400I,
1343 14
1345 11 W1345C, W1345C,
1717 14 L1717P,
1342 11
1416 15 A1416E, A1416G, c.4245+2T>A, c.4245+1G>C, c.4245+1G>A,
736 11 L736P,
1750 13 L1750F,
1722 14 N1722D,
1749 10 I1749N,
1347 14
1415 14
1414 12 Q1414H, Q1414H,
1402 9
1413 10