SCN5A Variant I239V

Summary of observed carriers, functional annotations, and structural context for SCN5A I239V . Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

76%

6/13 effective observations

Estimated BrS1 penetrance

8%

1/13 effective observations

Total carriers

3

0 BrS1 · 3 LQT3 · 0 unaffected

I239V has not been reported in gnomAD. This residue resides in a Non_Hotspot region for Brugada syndrome and a Hotspot region for LQT3.

Variant features alone are equivalent to phenotyping 1 individuals for Brugada syndrome and 3 individuals for LQT3.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA None 6 83

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
15176425 2004 5 5 0 0
20566482 2010 2 0 2 0
20659946 2010 4 4 0 0
23098067 2012 1 1 0 0
30036649 2018 3 3 0 0
Literature, cohort, and gnomAD 3 0 3 0
Variant features alone 15 11 3 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)
15176425 2004
20566482 2010
20659946 2010
23098067 2012
30036649 2018

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 I239V .
Neighbour residue Distance (Å) Observed variants
414 14 M414V,
848 12 I848F,
939 15 L939F,
937 9
839 10 L839P,
842 6
249 15 K249X,
247 13 V247L, V247L,
240 5 V240M,
231 12 c.692_693delCA,
193 14 W193R, W193R, W193X,
418 12 E418K,
926 13
237 8
925 13 I925F,
227 13 L227P,
836 14 V836M,
234 10 P234S,
417 12
934 11
933 7
229 13
246 10
935 13 L935P,
412 11 V412D,
245 11 Q245K,
845 7 c.2533delG,
232 13 V232I, V232F,
244 9
415 10 A415T,
940 13 S940N,
849 12
420 10
248 14
938 14
241 6
235 7 c.703+1G>A, G235R, G235R, c.704-1G>C,
840 9
843 10 T843A,
419 8 Q419X,
930 9 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
423 12
837 10
239 0 I239V, I239V ,
230 9 I230V, I230T, I230M,
242 5 A242D,
929 10
416 7 Y416C,
413 12 A413T, A413E,
841 7 p.N841TfsX2, N841K, N841K,
236 6
847 13
941 14 S941N, S941F
846 10 L846R,
936 10
238 4
233 9
838 8
422 13
421 14
844 10 L844RfsX3,
411 14 V411M,
243 6
932 13
835 13 S835A, S835L,
931 12