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SCN5A Variant H1923D

Summary of observed carriers, functional annotations, and structural context for SCN5A H1923D. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

1%

0/11 effective observations

Estimated BrS1 penetrance

32%

3/11 effective observations

Total carriers

1

1 BrS1 · 0 LQT3 · 0 unaffected

H1923D has not been reported 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 (%)
-1.57 0.209 0.52 0.595 30 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
28341781 2017 1 0 1 0
Literature, cohort, and gnomAD 1 0 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)
28341781 2017

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 H1923D.
Neighbour residue Distance (Å) Observed variants
1908 15 I1908V,
1909 14 Q1909R,
1910 14 R1910K,
1911 13
1912 13
1913 12 R1913S, R1913H, R1913C,
1914 11 R1914G,
1915 11 H1915P, H1915Y, H1915N, H1915Q,
1916 10
1917 9
1918 8
1919 8 R1919C, R1919H,
1920 7 S1920C,
1921 5
1922 4 K1922R, K1922N,
1923 0 H1923D, H1923Y,
1924 4 A1924T,
1925 5 p.S1925CfsX20, S1925F,
1926 7
1927 8 L1927P,
1928 8 F1928V,
1929 9 R1929C, R1929H,
1930 10 Q1930H,
1931 11
1932 11 A1932V,
1933 12 G1933D, G1933V, G1933A,
1934 13
1935 13 G1935S,
1936 14
1937 14 S1937A,
1938 15 E1938K, E1938X,