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SCN5A Variant Q1909R

Summary of observed carriers, functional annotations, and structural context for SCN5A Q1909R. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

47%

2/11 effective observations

Estimated BrS1 penetrance

8%

0/11 effective observations

Total carriers

1

0 BrS1 · 1 LQT3 · 0 unaffected

Q1909R has not been reported in gnomAD. This residue resides in a Non_Hotspot region for Brugada syndrome and a Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 0 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 (%)
-3.7 1 -0.27 0.987 1 50

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
25904541 2015 1 1 0 0
25757662 2015 1 0 0 1 SIDS
15840476 2005 1 1 0 0
Literature, cohort, and gnomAD 1 0 1 0
Variant features alone 15 14 1 0

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)
28087622 2017 HEK 90 -3.3 -5.6 222
15840476 2005
25370050 2014 HEK 8.5 2.4
28734073 2017 HEK
25757662 2015 HEK 81 -8 -0.6 202
25904541 2015 HEK 58 4 7 371

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 Q1909R.
Neighbour residue Distance (Å) Observed variants
1894 15
1895 14 T1895I,
1896 14 L1896P, p.L1896PfsX47,
1897 13 R1897Y, R1897Q, R1897W,
1898 13 R1898C, R1898H
1899 12
1900 11
1901 11 E1901K, E1901Q,
1902 10 E1902A,
1903 9 V1903M,
1904 8 S1904L,
1905 8
1906 7 M1906T, M1906V,
1907 5
1908 4 I1908V,
1909 0 Q1909R,
1910 4 R1910K,
1911 5
1912 7
1913 8 R1913S, R1913H, R1913C,
1914 8 R1914G,
1915 9 H1915P, H1915Y, H1915N, H1915Q,
1916 10
1917 11
1918 11
1919 12 R1919C, R1919H,
1920 13 S1920C,
1921 13
1922 14 K1922R, K1922N,
1923 14 H1923D, H1923Y,
1924 15 A1924T,