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SCN5A Variant L1988R

Summary of observed carriers, functional annotations, and structural context for SCN5A L1988R. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

2%

1/67 effective observations

Estimated BrS1 penetrance

3%

1/67 effective observations

Total carriers

57

1 BrS1 · 1 LQT3 · 55 unaffected

L1988R is present in 55 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 0 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 (%)
-1.04 0.001 -0.9 0.788 1 3

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
15996170 2005 1 0 0 1 DCM, VT, CHF
20123697 2010 1 0 1 0
27871843 2017 1 1 0 0
Literature, cohort, and gnomAD 57 55 1 1
Variant features alone 15 15 0 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)
15996170 2005
20123697 2010
26798387 2016
27871843 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 L1988R.
Neighbour residue Distance (Å) Observed variants
1973 15 F1973L,
1974 14
1975 14 P1975T,
1976 13 S1976C,
1977 13 Y1977N,
1978 12
1979 11
1980 11 V1980F,
1981 10
1982 9 R1982T,
1983 8 A1983V, A1983G,
1984 8 T1984I,
1985 7 S1985R,
1986 5 D1986N, D1986G,
1987 4 N1987K,
1988 0 L1988R,
1989 4
1990 5 V1990L,
1991 7 R1991Q, R1991W,
1992 8 G1992A,
1993 8
1994 9
1995 10 Y1995X,
1996 11 S1996N, S1996R,
1997 11 H1997R,
1998 12
1999 13
2000 13 D2000Y,
2001 14
2002 14 A2002T,
2003 15 D2003N,