SCN5A Variant V247L

Summary of observed carriers, functional annotations, and structural context for SCN5A V247L. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT3 penetrance

8%

1/27 effective observations

Estimated BrS1 penetrance

2%

0/27 effective observations

Total carriers

17

0 BrS1 · 1 LQT3 · 16 unaffected

V247L is present in 16 alleles 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 0 individuals for LQT3.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
-2.93 0.997 3.29 0.895 1 16

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
19716085 2009 1 1 0 0
Literature, cohort, and gnomAD 17 16 1 0
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)
19716085 2009

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 V247L.
Neighbour residue Distance (Å) Observed variants
414 12 M414V,
404 15 L404V, L404Q,
249 7 K249X,
247 0 V247L,
240 11 V240M,
254 9
193 15 W193R, W193X,
418 14 E418K,
926 11
250 5
409 13 L409P, L409V,
928 10 L928P,
925 8 I925F,
933 11
246 4
412 9 V412D,
924 9 V924I,
927 13 N927K, N927S,
245 7 Q245K,
845 15 c.2533delG,
244 6
415 10 A415T,
849 14
921 11
922 14 V922I,
405 14
248 5
241 9
920 14
419 14 Q419X,
930 11 c.2788-6C>T, c.2787+17_2787+18insACACACACACACACACACACACA,
255 13
239 13 I239V , I239V,
251 7
410 12 A410V,
242 8 A242D,
929 7
416 13 Y416C,
413 13 A413T, A413E,
408 10
253 10
407 13
192 15
1642 15 G1642E,
923 14
252 11
411 9 V411M,
243 7
932 12
257 14
931 14