KCNH2 Variant R394S

Summary of observed carriers, functional annotations, and structural context for KCNH2 R394S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

9%

0/10 effective observations

Total carriers

0

0 LQT2 · 0 unaffected

Functional studies

0

Publications with functional data

R394S has not been reported in gnomAD. This residue resides in a Non_Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 101% of WT with a standard error of 10%. In our analysis we used SE < 20% as 'high quality'. Approximately below 50% of WT is considered PS3 moderate and below 30% is PS3 strong.

Variant features alone are equivalent to phenotyping 0 individuals with LQT2 and 10 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-5.127 0.977 -1 0.834 1

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. BLAST-PSSM reflects evolutionary conservation; more negative values indicate rarer substitutions. Penetrance density summarises neighbouring residue risk (Kroncke et al. 2019).

Reported carrier data

Observed carriers by publication or cohort.
Source Year Carriers Unaffected LQT2 Other Disease
Literature, cohort, and gnomAD 0 0 0
Variant features alone 10 10 0

Totals may differ from individual publications due to duplicate patients removed during curation.

Nearby variants

Neighbouring residues within 15 Ångström provide structural context. Variants listed in the right-most column have been observed clinically or in gnomAD. Note that 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 15Å window.

Previously observed variants near R394S.
Neighbour residue Distance (Å) Observed variants
394 0 R394C, R394H,
393 4 P393L,
395 4
392 5
396 5
391 7 Q391X,
397 7 R397X, R397H,
390 8
398 8 W398X, W398L,
389 8
399 8
388 9
400 9 I400N,
387 10
401 10
386 11 P386X,
402 11 H402R
385 11
403 11
384 12
404 12
383 13
405 13
382 13 A382T,
406 13
381 14
407 14
380 14 L380X,
408 14
379 15 S379Y,
409 15 V409M, V409L, V409L,