SCN5A Variant A2T

Summary of observed carriers, functional annotations, and structural context for SCN5A A2T. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/15 effective observations

Estimated BrS1 penetrance

24%

3/15 effective observations

Total carriers

5

1 BrS1 · 0 LQT3 · 4 unaffected

A2T is present in 3 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 2 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 (%)
-2.2 0.997 -4.14 0.728 28 6

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
13154113 1954 2 0 1 0
20609320 2010 1 0 1 0
Literature, cohort, and gnomAD – 5 4 0 1 –
Variant features alone – 15 13 0 2 – –

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)
13154113 1954
20609320 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 A2T.
Neighbour residue Distance (Å) Observed variants
1 4 c.-53+1G>A, M1I,
2 0 A2T,
3 4 N3S, N3K, N3K,
4 5 F4V,
5 7
6 8 L6S,
7 8 P7R, P7L,
8 9 R8W, R8Q, R8P,
9 10 G9S, G9V,
10 11 T10S, T10S,
11 11 S11R, S11R, S11R,
12 12
13 13
14 13 R14S, R14C, R14H,
15 14 R15G, R15T, R15M,
16 14 F16L, F16L, F16L
17 15