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SCN5A Variant A1949S

Summary of observed carriers, functional annotations, and structural context for SCN5A A1949S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

38%

2/11 effective observations

Estimated BrS1 penetrance

8%

0/11 effective observations

Total carriers

1

0 BrS1 · 1 LQT3 · 0 unaffected

A1949S has not been reported in gnomAD. This residue resides in a Non_Hotspot region for Brugada syndrome and a Mild_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 (%)
-1.36 0.95 1.59 0.831 0 34

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
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)
15840476 2005

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 A1949S.
Neighbour residue Distance (Å) Observed variants
1934 15
1935 14 G1935S,
1936 14
1937 13 S1937A,
1938 13 E1938X, E1938K,
1939 12 p.E1939_E1943del,
1940 11
1941 11
1942 10 P1942H, P1942S
1943 9
1944 8 R1944X, R1944Q,
1945 8
1946 7
1947 5
1948 4 I1948V,
1949 0 A1949T, A1949S,
1950 4 Y1950C,
1951 5 V1951M, V1951L,
1952 7
1953 8 p.S1953RfsX84,
1954 8 E1954K,
1955 9 N1955Y,
1956 10
1957 11 S1957P,
1958 11 R1958Q, R1958X, R1958P,
1959 12
1960 13
1961 13
1962 14 P1962L, P1962S,
1963 14 P1963L,
1964 15 S1964F,