SCN1B

Chr 19ADAR

sodium voltage-gated channel beta subunit 1

Also known as: ATFB13, BRGDA5, DEE52, EIEE52, GEFSP1

Voltage-gated sodium channels are heteromeric proteins that function in the generation and propagation of action potentials in muscle and neuronal cells. They are composed of one alpha and two beta subunits, where the alpha subunit provides channel activity and the beta-1 subunit modulates the kinetics of channel inactivation. This gene encodes a sodium channel beta-1 subunit. Mutations in this gene result in generalized epilepsy with febrile seizures plus, Brugada syndrome 5, and defects in cardiac conduction. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Oct 2009]

Primary Disease Associations & Inheritance

Atrial fibrillation, familial, 13MIM #615377
AD
Brugada syndrome 5MIM #612838
Cardiac conduction defect, nonspecificMIM #612838
Developmental and epileptic encephalopathy 52MIM #617350
AR
Generalized epilepsy with febrile seizures plus, type 1MIM #604233
AD
517
ClinVar variants
34
Pathogenic / LP
0.10
pLI score
1
Active trials
Clinical SummarySCN1B
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Gene-Disease Validity (ClinGen)
generalized epilepsy with febrile seizures plus · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

3 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.10) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
34 Pathogenic / Likely Pathogenic· 297 VUS of 517 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
1.26LOEUF
pLI 0.102
Z-score 1.22
OE 0.41 (0.171.26)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
1.22Z-score
OE missense 0.73 (0.630.85)
118 obs / 161.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.41 (0.171.26)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.73 (0.630.85)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.1.01
01.21.6
LoF obs/exp: 2 / 4.9Missense obs/exp: 118 / 161.8Syn Z: -0.06

ClinVar Variant Classifications

517 submitted variants in ClinVar

Classification Summary

Pathogenic27
Likely Pathogenic7
VUS297
Likely Benign145
Benign23
Conflicting18
27
Pathogenic
7
Likely Pathogenic
297
VUS
145
Likely Benign
23
Benign
18
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
13
1
13
0
27
Likely Pathogenic
4
3
0
0
7
VUS
18
233
37
9
297
Likely Benign
0
6
46
93
145
Benign
0
1
21
1
23
Conflicting
18
Total35244117103517

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

SCN1B · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Gene2Phenotype Curations

SCN1B-related Brugada syndrome

disputed
ADUndeterminedUncertain
Cardiac
G2P ↗

SCN1B-related developmental and epileptic encephalopathy

definitive
ARUndetermined Non-Loss-Of-FunctionAltered Gene Product Structure
Dev. Disorders
G2P ↗
splice region variantmissense variant

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

Atrial fibrillation, familial, 13

MIM #615377

Molecular basis of disorder known

Autosomal dominant

Brugada syndrome 5

MIM #612838

Molecular basis of disorder known

Cardiac conduction defect, nonspecific

MIM #612838

Molecular basis of disorder known

Developmental and epileptic encephalopathy 52

MIM #617350

Molecular basis of disorder known

Autosomal recessive

Generalized epilepsy with febrile seizures plus, type 1

MIM #604233

Molecular basis of disorder known

Autosomal dominant
📖
GeneReview available — SCN1B
Authoritative clinical overview · NCBI Bookshelf · Recommended first read
Open GeneReview ↗
Clinical Literature
Landmark / reviewRecent case evidence