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SCN5A Variant F2004L

Summary of observed carriers, functional annotations, and structural context for SCN5A F2004L. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

9%

2/30 effective observations

Estimated BrS1 penetrance

22%

6/30 effective observations

Total carriers

20

5 BrS1 · 2 LQT3 · 13 unaffected

F2004L is present in 2 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 (%)
-0.63 0 -0.21 0.29 23 5

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
18456723 2008 5 0 1 0
17210841 2007 3 0 0 3 SIDS
16643399 2006 1 0 1 0
22677073 2012 1 0 0 1 SUDS
23714088 2013 1 1 0 0
23936059 2013 1 1 0 0
25163546 2015 1 0 0 1 DCM
21126620 2010 1 0 1 0
23571586 2013 1 0 0 1 stillbirth, SUDS
22685113 2012 1 0 0 1 AF
18071069 2008 1 0 0 1 SCD
20129283 2010 7 0 0 0
29672598 2018 1 0 0 1 SUDS
29672598 2018 2 0 2 1 SUDS
Literature, cohort, and gnomAD 20 13 2 5
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)
25163546 2015
29017927 2017
21126620 2010
23465283 2013
23571586 2013
17646591 2007
22685113 2012 HEK
18071069 2008 Xeno
20129283 2010
17210841 2007 tsA202 120 0.7 4.7 386
22677073 2012
29672598 2018
29672598 2018
16643399 2006
18456723 2008 CHO 57
23414114 2013
23714088 2013
23936059 2013

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