SCN5A Variant N1443S

Summary of observed carriers, functional annotations, and structural context for SCN5A N1443S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

2%

0/25 effective observations

Estimated BrS1 penetrance

9%

2/25 effective observations

Total carriers

15

1 BrS1 · 0 LQT3 · 14 unaffected

N1443S 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 (%)
-3.34 0.967 1.8 0.743 15 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
22984773 2013 5 0 1 0
Literature, cohort, and gnomAD 15 14 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)
22984773 2013

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 N1443S.
Neighbour residue Distance (Å) Observed variants
1355 10
1357 14 A1357V,
1430 8 D1430N,
1352 14
1426 11
1445 5 Y1445H,
1361 14
1447 10
1444 6 L1444I,
1440 11 W1440X,
1449 12 Y1449S, Y1449C
1429 6
1442 6 Y1442N, Y1442C,
806 15 V806M,
1450 13
886 13 H886P, H886Q, H886Q,
1358 14 G1358R, G1358R, G1358W,
1362 15 c.4083delG, R1362S, R1362S,
1433 9 G1433R, G1433R, G1433W, G1433V,
1438 10 P1438L,
1387 15 L1387F, L1387F,
1437 13
1431 7 S1431C,
805 14 S805L,
1359 10 K1359M, K1359N, K1359N,
1434 12 c.4299_4300insG, c.4299+1delG, c.4299+1G>T, c.4299+28C>T, c.4299+2T>A, c.4299delG, c.4299G>A, Y1434X, c.4300-1G>A, c.4300-2A>T,
1356 11 c.4066_4068delTT,
889 14
1360 13 F1360C,
1425 12
1427 11 A1427S, A1427E,
1446 6
1424 15 I1424V,
1432 7 R1432G, R1432S, R1432S,
1448 12 I1448L, I1448T,
1439 9 Q1439R, Q1439H, Q1439H,
885 11
1443 0 N1443S,
1441 9 E1441Q,
879 15 W879R, W879R,
883 14
1428 8 A1428S, A1428V,
804 15
1436 12