KCNH2 Variant A422T

Summary of observed carriers, functional annotations, and structural context for KCNH2 A422T. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

43%

6/13 effective observations

Total carriers

3

3 LQT2 · 0 unaffected

Functional studies

4

Publications with functional data

A422T has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 0% of WT with a standard error of 0%. 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 3 individuals with LQT2 and 7 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-3.807 0.998 0 0.938 86

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
France Cohort 2020 1 0 1
15242738 2004 2 0 1
15840476 2005 1 0 1
Literature, cohort, and gnomAD 3 0 3
Variant features alone 10 7 3

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

Functional data

Functional assay results from published electrophysiology studies. Steady state (S.S.) and peak tail current are relative % to wildtype (100% being no different from wildtype). V1/2 activation and inactivation are the voltages at which half of the maximal current is reached, in mV. Recovery from inactivation and deactivation time are ratios of characteristic time constants with wildtype. HM indicates homomeric channels, HT indicates heteromeric channels.

Homomeric channel data

Published electrophysiology measurements (homomeric).
PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Recov. Inact. Deactivation (%WT)
15242738 HEK293 25 11 None None None None
16432067 HEK293 45 None None None None
22580281 HEK293 0 None None None None
25254341 hiPSC-CM None None None None

Heteromeric channel data

Published electrophysiology measurements (heteromeric).
PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Deactivation (%WT)
15242738 HEK293 11 11 None None None
16432067 HEK293 None None None
22580281 HEK293 33 18 -14.6 -2.6 None
25254341 hiPSC-CM 50 None None None

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 A422T.
Neighbour residue Distance (Å) Observed variants
422 0 A422T,
423 4
421 4 T421fsX, T421M,
419 6
425 6
559 6 L559F, L559H,
563 6 W563G, W563C, W563C, W563X,
529 6
426 6 P426H,
418 7
420 7 Y420C,
424 7
562 7 H562P, H562R, H562Q, H562Q,
532 8
531 9 R531W, R531Del, R531Q,
528 9 R528W, R528X, R528P,
417 10
558 10 A558P, A558E, A558V,
555 10
556 10
560 10 I560fsX, I560M,
526 10
427 10 Y427H, Y427S, Y427C,
428 11 S428fsX, S428X, S428L,
566 11 C566S, C566R, C566G, C566S, C566F,
416 11
530 11
415 11
527 11
561 11 A561T, A561P, A561V,
429 12 A429P, A429V,
456 12 D456Y,
459 12
535 12 V535M,
525 12 K525N, K525N,
533 12
564 12 L564L,
565 12
463 13 F463L, F463L, F463L,
414 13 I414fsX,
430 13
552 13 L552S,
534 13 R534C,
611 13 Y611D,
504 13 A504V,
567 13 I567T, I567M,
557 14
460 14 D460fsX,
431 14 F431L, F431L, F431L,
452 14
615 14 L615V, L615F
551 14 F551L, F551L, F551L,
455 14
536 15 A536X,
413 15 L413P,