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SCN5A Variant D2003N

Summary of observed carriers, functional annotations, and structural context for SCN5A D2003N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

5%

0/14 effective observations

Estimated BrS1 penetrance

8%

1/14 effective observations

Total carriers

4

0 BrS1 · 0 LQT3 · 4 unaffected

D2003N is present in 4 alleles 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 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 (%)
-1.18 0.966 1.36 0.381 11 4

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
26164358 2015 1 0 0 1 SUDS
Literature, cohort, and gnomAD 4 4 0 0
Variant features alone 15 14 0 1

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)
26164358 2015

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 D2003N.
Neighbour residue Distance (Å) Observed variants
1988 15 L1988R,
1989 14
1990 14 V1990L,
1991 13 R1991Q, R1991W,
1992 13 G1992A,
1993 12
1994 11
1995 11 Y1995X,
1996 10 S1996R, S1996N,
1997 9 H1997R,
1998 8
1999 8
2000 7 D2000Y,
2001 5
2002 4 A2002T,
2003 0 D2003N,
2004 4 F2004I, F2004L, F2004V, p.F2004dup,
2005 5 P2005A, P2005L, P2005S,
2006 7 p.P2006LfsX32, P2006A, p.Pro2006del, P2006T,
2007 8 p.S2007FfsX7,
2008 8 P2008L,
2009 9 D2009E,
2010 10 R2010G,
2011 11
2012 11 R2012C, R2012H,
2013 12
2014 13
2015 13
2016 14 V2016L, V2016M,