KCNH2 Variant E444A

Summary of observed carriers, functional annotations, and structural context for KCNH2 E444A. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

15%

1/10 effective observations

Total carriers

0

0 LQT2 · 0 unaffected

Functional studies

0

Publications with functional data

E444A has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 131% of WT with a standard error of 22%. 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 1 individuals with LQT2 and 9 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-1.936 0.0 -1 0.482 41

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 9 1

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 E444A.
Neighbour residue Distance (Å) Observed variants
444 0 E444K, E444D, E444D,
443 4 T443fsX, T443N,
445 4
442 5
446 5
441 7 P441R, P441L,
447 7 Y447X,
440 8 P440L,
448 8 A448T, A448S,
439 8
449 8
438 9 E438K, E438X,
450 9
437 10
451 10 P451L,
436 11 T436M,
452 11
435 11 E435G, E435X,
453 11
434 12
454 12
433 13
455 13
432 13
456 13 D456Y,
431 14 F431L, F431L, F431L,
457 14 L457P
430 14
458 14
429 15 A429P, A429V,
459 15