SCN5A Variant W193R

Summary of observed carriers, functional annotations, and structural context for SCN5A W193R. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

10%

0/11 effective observations

Estimated BrS1 penetrance

13%

1/11 effective observations

Total carriers

1

0 BrS1 · 0 LQT3 · 1 unaffected

W193R is present in 1 alleles in gnomAD. This residue resides in a Non_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 (%)
-13.55 0.998 -6.96 0.909 3 1

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 W193R.
Neighbour residue Distance (Å) Observed variants
848 13 I848F,
223 14 V223L,
247 15 V247L, V247L,
240 9 V240M,
231 9 c.692_693delCA,
198 11
193 0 W193R, W193R, W193X,
195 8
237 11
228 7 K228R,
138 13 M138I, M138I, M138I,
227 7 L227P,
171 14
137 15 I137V,
197 8
229 11
196 6
190 12 R190G, R190W, R190L, R190Q,
189 11
852 14
245 14 Q245K,
224 10 L224F,
845 13 c.2533delG,
232 13 V232F, V232I,
244 10
191 6
134 15 N134S,
849 14
226 11 A226V, A226G,
248 14
241 11
235 15 G235R, G235R, c.704-1G>C, c.703+1G>A,
239 14 I239V , I239V,
230 9 I230V, I230M, I230T,
199 11 S199T,
242 14 A242D,
236 11
192 5
175 13 K175N, K175N,
233 13
194 6
141 14 I141N, I141V,
188 11
201 14
225 10 R225Q, R225W,
243 12
200 12
187 13 T187S, T187I, T187S,