KCNH2 Variant F348Y Detail

We estimate the penetrance of LQTS for KCNH2 F348Y is 8%. We are unaware of any observations of this variant in individuals. F348Y is not present in gnomAD. F348Y has not been functionally characterized. This residue is located in a Non_Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 0 individuals with LQT2 and 10 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 F348Y around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
0.048 0.057 0 0.447 1
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance density is our previously published method to calculate the average LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT2 Other Disease
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

F348Y has 31 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. NOTE: some residues appear multiple times at different distances since the functional KV11.1 channel (protein product of KCNH2/hERG) is a homotetramer and occasionally the same residue from multiple subunits is present within the 15A window. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
348 0
347 4 P347S,
349 4
346 5 D346E, D346N, D346Y, D346E,
350 5
345 7 G345S,
351 7 S351L,
344 8
352 8
343 8 L343fsX,
353 8 T353S, T353S,
342 9 D342A, D342X, D342V,
354 9
341 10
355 10 D355G,
340 11 F340L, F340L, F340L,
356 11 R356C, R356H,
339 11
357 11 E357D, E357D,
338 12
358 12
337 13 T337S, T337S, T337X,
359 13 I359V,
336 13
360 13
335 14 Q335X,
361 14
334 14 P334L,
362 14
333 15
363 15 I363X,