Epilepsy, familial focal, with variable foci 4
diseaseOn this page
Also known as FFEVF4
Summary
Epilepsy, familial focal, with variable foci 4 (MONDO:0054776) is a disease caused by SCN3A (GenCC Strong), with 1 cohort gene.
At a glance
- Causal gene: SCN3A (GenCC Strong)
- Cohort genes: 1
- ClinVar variants: 71
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | epilepsy, familial focal, with variable foci 4 |
| Mondo ID | MONDO:0054776 |
| OMIM | 617935 |
| DOID | DOID:0081424 |
| UMLS | C4693694 |
| MedGen | 1644614 |
| GARD | 0025973 |
| Is cancer (heuristic) | no |
Also known as: FFEVF4
Data availability: 71 ClinVar variants · 2 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by body system or component › nervous system disorder › central nervous system disorder › brain disorder › epilepsy › focal epilepsy › familial partial epilepsy › familial focal epilepsy with variable foci › epilepsy, familial focal, with variable foci 4
Related subtypes (3): epilepsy, familial focal, with variable foci 2, epilepsy, familial focal, with variable foci 3, epilepsy, familial focal, with variable foci 1
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
71 retrieved; paginated sample, class counts are floors:
44 uncertain significance, 10 benign, 7 conflicting classifications of pathogenicity, 4 pathogenic, 3 benign/likely benign, 1 pathogenic/likely pathogenic, 1 likely pathogenic, 1 likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1329938 | NM_006922.4(SCN3A):c.5295G>A (p.Met1765Ile) | SCN3A | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1802268 | NM_006922.4(SCN3A):c.2017G>T (p.Glu673Ter) | SCN3A | Pathogenic | criteria provided, single submitter |
| 373960 | NM_006922.4(SCN3A):c.2624T>C (p.Ile875Thr) | SCN3A | Pathogenic | reviewed by expert panel |
| 4819726 | NM_006922.4(SCN3A):c.3393+2T>G | SCN3A | Pathogenic | criteria provided, single submitter |
| 522566 | NM_006922.3(SCN3A):c.742T>C (p.Ser248Pro) | SCN3A | Pathogenic | no assertion criteria provided |
| 4293969 | NM_006922.4(SCN3A):c.19del (p.Val7fs) | SCN3A | Likely pathogenic | criteria provided, single submitter |
| 194238 | NM_006922.4(SCN3A):c.2003G>A (p.Gly668Glu) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 194858 | NM_006922.4(SCN3A):c.3253A>G (p.Ile1085Val) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 403870 | NM_006922.4(SCN3A):c.791T>C (p.Ile264Thr) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 522563 | NM_006922.4(SCN3A):c.1070G>A (p.Arg357Gln) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 859687 | NM_006922.4(SCN3A):c.560G>A (p.Arg187His) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 859810 | NM_006922.4(SCN3A):c.4236A>G (p.Gln1412=) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 944297 | NM_006922.4(SCN3A):c.3682A>G (p.Ile1228Val) | SCN3A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1008548 | NM_006922.4(SCN3A):c.3133A>G (p.Ile1045Val) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1019843 | NM_006922.4(SCN3A):c.694+3G>T | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1033165 | NM_006922.4(SCN3A):c.1580A>C (p.Glu527Ala) | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1062741 | NM_006922.4(SCN3A):c.3629C>T (p.Thr1210Ile) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1342364 | NM_006922.4(SCN3A):c.1663C>A (p.Pro555Thr) | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1422176 | NM_006922.4(SCN3A):c.4G>A (p.Ala2Thr) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1480919 | NM_006922.4(SCN3A):c.83G>A (p.Arg28His) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1491713 | NM_006922.4(SCN3A):c.5612G>A (p.Arg1871Gln) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1675128 | NM_006922.4(SCN3A):c.5734A>C (p.Arg1912=) | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1679624 | NM_006922.4(SCN3A):c.-50-2312T>C | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1708494 | NM_006922.4(SCN3A):c.603-119C>T | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1803147 | NM_006922.4(SCN3A):c.595G>A (p.Val199Met) | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1878573 | NM_006922.4(SCN3A):c.5047G>T (p.Glu1683Ter) | SCN3A | Uncertain significance | criteria provided, single submitter |
| 1878603 | NM_006922.4(SCN3A):c.3683T>C (p.Ile1228Thr) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 2042360 | NM_006922.4(SCN3A):c.764T>C (p.Val255Ala) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 2067945 | NM_006922.4(SCN3A):c.2285T>C (p.Val762Ala) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 240708 | NM_006922.4(SCN3A):c.2021G>A (p.Gly674Asp) | SCN3A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 7 · Orphanet: 2 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| SCN3A | Strong | Autosomal dominant | epilepsy, familial focal, with variable foci 4 | 7 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SCN3A | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| SCN3A | Orphanet:98820 | Familial focal epilepsy with variable foci |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SCN3A | HGNC:10590 | ENSG00000153253 | Q9NY46 | Sodium channel protein type 3 subunit alpha | gencc,clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SCN3A | Sodium channel protein type 3 subunit alpha | Pore-forming subunit of Nav1.3, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 1 | 111.5× | 0.009 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SCN3A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 1 |
| endothelial cell | 1 |
| middle temporal gyrus | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SCN3A | 221 | broad | marker | endothelial cell, cortical plate, middle temporal gyrus |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SCN3A | 1,454 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| SCN3A | Q9NY46 | 2 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 11. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Interaction between L1 and Ankyrins | 1 | 368.4× | 0.010 | SCN3A |
| Phase 0 - rapid depolarisation | 1 | 346.1× | 0.010 | SCN3A |
| Sensory perception of taste | 1 | 335.9× | 0.010 | SCN3A |
| Sensory perception of sweet, bitter, and umami (glutamate) taste | 1 | 278.5× | 0.010 | SCN3A |
| L1CAM interactions | 1 | 120.2× | 0.017 | SCN3A |
| Cardiac conduction | 1 | 108.8× | 0.017 | SCN3A |
| Sensory Perception | 1 | 95.2× | 0.017 | SCN3A |
| Muscle contraction | 1 | 77.2× | 0.018 | SCN3A |
| Axon guidance | 1 | 45.1× | 0.026 | SCN3A |
| Nervous system development | 1 | 42.9× | 0.026 | SCN3A |
| Developmental Biology | 1 | 14.5× | 0.069 | SCN3A |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| membrane depolarization during action potential | 1 | 1685.2× | 0.002 | SCN3A |
| behavioral response to pain | 1 | 887.0× | 0.002 | SCN3A |
| cardiac muscle cell action potential involved in contraction | 1 | 702.2× | 0.002 | SCN3A |
| sodium ion transport | 1 | 271.8× | 0.005 | SCN3A |
| sodium ion transmembrane transport | 1 | 203.0× | 0.005 | SCN3A |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| SCN3A | BEPRIDIL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN3A | 93 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | SCN3A |
| DIBUCAINE | 4 | SCN3A |
| ARTICAINE | 4 | SCN3A |
| BUPIVACAINE | 4 | SCN3A |
| IMIPRAMINE | 4 | SCN3A |
| DROPERIDOL | 4 | SCN3A |
| DICYCLOMINE | 4 | SCN3A |
| TETRABENAZINE | 4 | SCN3A |
| PHENIRAMINE | 4 | SCN3A |
| PRILOCAINE | 4 | SCN3A |
| PROPOXYCAINE | 4 | SCN3A |
| PROPARACAINE | 4 | SCN3A |
| HEXYLCAINE | 4 | SCN3A |
| PRAMOXINE | 4 | SCN3A |
| BENOXINATE | 4 | SCN3A |
| QUINIDINE | 4 | SCN3A |
| FELODIPINE | 4 | SCN3A |
| PHENYTOIN | 4 | SCN3A |
| QUININE | 4 | SCN3A |
| NISOLDIPINE | 4 | SCN3A |
| NIFEDIPINE | 4 | SCN3A |
| PRAZOSIN | 4 | SCN3A |
| DILTIAZEM | 4 | SCN3A |
| PRENYLAMINE | 4 | SCN3A |
| COCAINE | 4 | SCN3A |
| TRIFLUOPERAZINE | 4 | SCN3A |
| CINNARIZINE | 4 | SCN3A |
| THIORIDAZINE | 4 | SCN3A |
| ETIDOCAINE | 4 | SCN3A |
| CHLORPHENIRAMINE | 4 | SCN3A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SCN3A | 102 | Binding:79, Functional:18, ADMET:4, Toxicity:1 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN3A | 102 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| BEPRIDIL | 4 | SCN3A |
| DIBUCAINE | 4 | SCN3A |
| ARTICAINE | 4 | SCN3A |
| BUPIVACAINE | 4 | SCN3A |
| IMIPRAMINE | 4 | SCN3A |
| DROPERIDOL | 4 | SCN3A |
| DICYCLOMINE | 4 | SCN3A |
| TETRABENAZINE | 4 | SCN3A |
| PHENIRAMINE | 4 | SCN3A |
| PRILOCAINE | 4 | SCN3A |
| PROPOXYCAINE | 4 | SCN3A |
| PROPARACAINE | 4 | SCN3A |
| HEXYLCAINE | 4 | SCN3A |
| PRAMOXINE | 4 | SCN3A |
| BENOXINATE | 4 | SCN3A |
| QUINIDINE | 4 | SCN3A |
| FELODIPINE | 4 | SCN3A |
| PHENYTOIN | 4 | SCN3A |
| QUININE | 4 | SCN3A |
| NISOLDIPINE | 4 | SCN3A |
| NIFEDIPINE | 4 | SCN3A |
| PRAZOSIN | 4 | SCN3A |
| DILTIAZEM | 4 | SCN3A |
| PRENYLAMINE | 4 | SCN3A |
| COCAINE | 4 | SCN3A |
| TRIFLUOPERAZINE | 4 | SCN3A |
| CINNARIZINE | 4 | SCN3A |
| THIORIDAZINE | 4 | SCN3A |
| ETIDOCAINE | 4 | SCN3A |
| CHLORPHENIRAMINE | 4 | SCN3A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | SCN3A |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Related Atlas pages
- Cohort genes: SCN3A