KCNH2 Variant P596S

Summary of observed carriers, functional annotations, and structural context for KCNH2 P596S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

44%

90% CI: 26.5% – 70.6%

6/13 effective observations

Total carriers

3

3 LQT2 · 0 unaffected

Functional studies

0

Publications with functional data

P596S has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 24% 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 3 individuals with LQT2 and 7 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-2.764 0.236 -1 0.746 92

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
26496715 2015 2 0 2
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.

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 P596S.
Neighbour residue Distance (Å) Observed variants
596 0 P596T, P596S, P596R, P596L,
597 5 Y597H, Y597C,
590 5 G590D, G590V,
595 5 K595E, K595N, K595N,
594 6
604 6 G604S, G604C, G604D,
591 7 D591N, D591H,
603 7 G603D,
605 8 P605L,
593 8 I593V, I593K, I593T, I593R, I593X,
587 9
589 9 L589P,
592 11 Q592X,
586 11 L586M,
588 11 N588D, N588K, N588K,
606 12 S606Del, S606P, S606F,
610 13
584 13 G584S, G584R, G584C,
583 14 I583V,
609 14 D609N, D609G
583 14 I583V,
576 14
585 14 W585C, W585C,