The voltage-gated cardiac sodium channel, SCN5A, is responsible for th
e initial upstroke of the action potential. Mutations in the human SCN
5A gene cause susceptibility to cardiac arrhythmias and sudden death i
n the long QT syndrome (LQT). In this report we characterize the genom
ic structure of SCN5A. SCN5A consists of 28 exons spanning approximate
ly 80 kb on chromosome 3p21. We describe the sequences of all intron/e
xon boundaries and a dinucleotide repeat polymorphism in intron 16. Ol
igonucleotide primers based on exon-flanking sequences amplify all SCN
5A exons by PCR. This work establishes the complete genomic organizati
on of SCN5A and will enable high-resolution analyses of this locus for
mutations associated with LQT and other phenotypes for which SCN5A ma
y be a candidate gene. (C) 1996 Academic Press, Inc.