KCNH2 Variant G572S

Summary of observed carriers, functional annotations, and structural context for KCNH2 G572S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

73%

39/49 effective observations

Total carriers

39

36 LQT2 · 2 unaffected

Functional studies

2

Publications with functional data

G572S is present in 1 alleles 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 4%. 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 (%)
-5.632 0.999 0 0.959 88

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
21216356 2011 1 0 1
22727609 2012 1 0 1
Japan Cohort 2020 12 1 11
21308345 2010 5 1 4
20197117 2010 4 0 2
France Cohort 2020 3 0 3
19038855 2009 1 0 1 Seizure
15176425 2004 2 0 2
15840476 2005 2 0 2
17905336 2007 1 0 1
19996378 2009 1 0 1
19306396 2009 3 0 3
19490267 2009 1 0 1
21063070 2010 1 0 1
24217263 2013 1 0 congenital LQT
26496715 2015 2 0 2
27871843 2017 1 0 1
28532774 2017 1 0 1
29622001 2018 2 0 2
29650123 2018 1 0
None 0 1
Literature, cohort, and gnomAD 39 2 36
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)
19490267 HEK293 None None None None
28082916 HEK293 16 0.0 None None 2.111111111

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)
19490267 HEK293 11 None None None
28082916 HEK293 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 G572S.
Neighbour residue Distance (Å) Observed variants
572 0 G572S, G572R, G572C, G572D,
573 4
571 4 I571L, I571V,
570 5
575 6 E575K,
569 6 Y569H, Y569C, Y569X,
586 6 L586M,
576 6
585 6 W585C, W585C,
574 6 M574L, M574V, M574L,
568 7 W568C, W568C,
584 8 G584S, G584R, G584C,
637 8 E637K, E637G, E637X,
636 9
587 9
634 9 T634P, T634A, T634S, T634S, T634I,
577 10
567 10 I567T, I567M,
610 10
583 10 I583V,
430 11
431 11 F431L, F431L, F431L,
566 11 C566S, C566R, C566G, C566S, C566F,
614 11 A614T, A614V,
565 11
640 11 F640L, F640V, F640Del, F640L, F640L,
589 12 L589P,
633 12 N633D, N633S, N633I,
588 12 N588D, N588K, N588K,
597 12 Y597H, Y597C,
632 12 P632A, P632S,
613 12 T613A, T613L, T613K, T613M,
635 12 N635I,
605 12 P605L,
631 13 S631F,
617 13 F617L, F617V, F617L, F617L,
630 13 V630I, V630T, V630A,
638 13 K638E, K638D, K638Del, K638R,
590 13 G590D, G590V,
607 14
639 14 I639F, I639N,
564 14 L564L,
609 14 D609N, D609G,
604 14 G604S, G604C, G604D,
429 14 A429P, A429V,
611 14 Y611D,
432 14
641 14 S641P, S641F
606 15 S606Del, S606P, S606F,
618 15 T618S, T618S,
603 15 G603D,