KCNH2 Variant N477I

Summary of observed carriers, functional annotations, and structural context for KCNH2 N477I. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

23%

90% CI: 5.6% – 46.7%

2/10 effective observations

Total carriers

0

0 LQT2 · 0 unaffected

Functional studies

0

Publications with functional data

N477I has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 102% of WT with a standard error of 8%. 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 2 individuals with LQT2 and 8 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-8.298 0.997 -4 0.918 48

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 8 2

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 N477I.
Neighbour residue Distance (Å) Observed variants
477 0
478 4 A478D,
480 4 E480V,
476 5 V476I,
479 5
475 6 Y475C, Y475Del,
481 6
483 7 V483I,
482 8 V482A,
492 8 H492Y,
4 9
6 10 G6R,
488 10 R488C, R488H,
827 10
474 11 T474I,
489 11 I489F, I489I,
484 11
491 12 V491I,
402 12 H402R,
703 13
8 13
765 13
9 13 A9T, A9V
7 13
5 13
706 13 S706C, S706F,
490 13 A490T, A490P,
826 13 T826A, T826I,
702 14
473 14 T473P,
487 14 G487S, G487R,
493 14 Y493H, Y493C, Y493F, Y493Ins,
699 14 E699D, E699D,
3 14
496 14
764 14
485 15 H485X,
497 15 W497L, W497X,
537 15 R537W,
495 15 K495X,