SCN5A Variant D1689N

Summary of observed carriers, functional annotations, and structural context for SCN5A D1689N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

10%

0/11 effective observations

Estimated BrS1 penetrance

17%

1/11 effective observations

Total carriers

1

0 BrS1 · 0 LQT3 · 1 unaffected

D1689N 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 (%)
-4.34 0.999 4.99 0.669 28 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 D1689N.
Neighbour residue Distance (Å) Observed variants
333 8 c.998+1G>A, c.998+5G>A,
1702 11
326 11
387 13
385 14 A385T,
1715 11
1687 6
330 15 S330F,
1698 13 A1698T,
334 10 c.999-424_1338+81del,
332 10 A332T,
1681 14 c.5040_5042delTTAinsC, Y1681F,
1694 11
327 13
1706 12 Q1706H, Q1706H,
1695 11 Q1695X,
376 12 R376C, R376H,
384 13 S384T,
1716 11 p.L1716SfsX71,
1688 5
1684 6 W1684R, W1684R,
329 15
1692 5
386 13 G386R, G386R, G386E,
1693 8
378 12
1699 10
331 12
1712 13 G1712S, G1712C,
379 7
1680 15 A1680T, A1680P,
1703 10
1719 11
335 13 C335S, C335R, C335S,
325 11 L325R,
1690 5 c.5068_5070delGA, D1690N,
324 9
383 7
280 14 C280Y,
323 13
1683 12
382 10
1718 14 S1718R, S1718R, S1718R,
1696 13
1689 0 D1689N,
1700 13
1682 12
336 13 P336L,
381 13 c.1140+1G>A, c.1141-3C>A,
1686 9
375 12
1691 5
380 11
1720 14 c.5157delC
377 15
1685 9