KCNH2 Variant P451L
Summary of observed carriers, functional annotations, and structural context for KCNH2 P451L. Data combine curated literature, international cohorts, and gnomAD observations.
Estimated LQT2 penetrance
19%
90% CI: 11.1% – 40.5%
5/29 effective observations
Total carriers
19
4 LQT2 · 8 unaffected
Functional studies
0
Publications with functional data
We have tested the trafficking efficiency of this variant: 124% of WT with a standard error of 18%. 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
| PROVEAN | PolyPhen-2 | BLAST-PSSM | REVEL | Penetrance Density LQT2 (%) |
|---|---|---|---|---|
| -8.867 | 0.807 | -3 | 0.926 | 35 |
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
| Source | Year | Carriers | Unaffected | LQT2 | Other Disease |
|---|---|---|---|---|---|
| 10862094 | 2000 | 4 | 2 | 2 | |
| 29622001 | 2018 | 2 | 0 | 2 | |
| Literature, cohort, and gnomAD | – | 19 | 8 | 4 | – |
| 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.