SCN5A Variant c.5321_5324dupACTT

Summary of observed carriers, functional annotations, and structural context for SCN5A c.5321_5324dupACTT. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

31%

1/11 effective observations

Estimated BrS1 penetrance

35%

3/11 effective observations

Total carriers

1

1 BrS1 · 0 LQT3 · 0 unaffected

c.5321_5324dupACTT has not been reported in gnomAD. This residue resides in a Mild_Hotspot region for Brugada syndrome and a Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 2 individuals for Brugada syndrome and 1 individuals for LQT3.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA None 36 48

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
23955615 2013 3 0 1 2 SSS, AVB
Literature, cohort, and gnomAD 1 0 0 1
Variant features alone 15 12 1 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)
23955615 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 c.5321_5324dupACTT.
Neighbour residue Distance (Å) Observed variants
403 12
414 13 M414V,
1659 14
1643 15 I1643L,
404 15 L404V, L404Q,
1778 7
1480 13 c.4438-1C>T, c.4437+5G>A,
1773 5
1653 6
1472 15 p.N1472del, N1472S,
1771 6 I1771T,
1652 5 M1652T, M1652R,
1777 6 V1777L, V1777M,
409 13 L409V, L409P,
1650 8 L1650F,
1492 13
1656 9
1477 8 K1477N,
1471 14
1779 9 T1779M,
1493 14 p.K1493del, K1493R, K1493X
1470 11
1478 13 K1478E,
1776 6
1787 13 S1787N,
1767 11 Y1767C,
1660 14 I1660V, I1660S,
1654 10
1648 9
1769 8
1766 13 M1766L, M1766V, M1766T,
1319 14 G1319V,
1649 6 A1649V,
1768 11 I1768V,
1774 0 N1774D, c.5321_5324dupACTT,
1473 10 F1473C, F1473S,
1657 10
1496 12
1474 10
1481 13 G1481V, G1481E, G1481R,
1781 10 E1781G, E1781D,
1772 7 L1772V,
1645 11 T1645M,
1323 14 V1323G,
410 10 A410V,
1780 11 E1780G,
1788 13 c.5361_5364delTGAG,
1770 6 I1770V,
1651 10
1500 14 p.K1500del,
413 13 A413E, A413T,
1482 14
408 15
1322 12 c.3963+2T>C, c.3963+4A>G,
407 11
1476 13 Q1476X, Q1476R,
1775 7 p.F1775LfsX15, F1775V,
1642 15 G1642E,
1655 11
1475 14 Q1475L, p.Q1475NfsX6,
1469 14 I1469V,
406 12 N406S, N406K,
411 13 V411M,
1647 12
1646 10
1489 14 E1489D,
1782 13
1658 14