KCNH2 Variant F617V

Summary of observed carriers, functional annotations, and structural context for KCNH2 F617V. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

54%

90% CI: 32.5% – 74.9%

7/14 effective observations

Total carriers

4

4 LQT2 · 0 unaffected

Functional studies

0

Publications with functional data

F617V has not been reported 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 12%. 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 (%)
-6.639 0.998 -1 0.939 80

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
25987402 2015 2 0 2
30244407 2018 2 0 2
Literature, cohort, and gnomAD 4 0 4
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 F617V.
Neighbour residue Distance (Å) Observed variants
617 0 F617L, F617V, F617L, F617L,
618 4 T618S, T618S,
620 5 S620G, S620I,
614 6 A614T, A614V,
621 6 S621R, S621N, S621R, S621R,
630 6 V630I, V630T, V630A,
568 6 W568C, W568C,
616 6 Y616S,
613 7 T613A, T613L, T613K, T613M,
615 7 L615V, L615F,
631 7 S631F,
565 8
641 8 S641P, S641F,
619 8
640 8 F640L, F640V, F640Del, F640L, F640L,
627 8 F627L, F627fsX, F627X, F627L, F627L,
632 8 P632A, P632S,
626 8 G626S, G626A, G626V,
585 8 W585C, W585C,
644 8 V644I, V644F,
564 8 L564L,
622 9 L622F,
627 9 F627L, F627fsX, F627X, F627L, F627L,
628 9 G628S, G628R, G628Del, G628D, G628A, G628V,
561 9 A561T, A561P, A561V,
637 9 E637K, E637G, E637X,
629 9 N629D, N629T, N629S, N629I, N629K, N629K,
625 10 V625E,
612 10 V612L, V612L, V612A,
623 10 T623I,
645 10 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
638 10 K638E, K638D, K638Del, K638R,
625 10 V625E,
642 11 I642V, I642Del,
645 11 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
567 11 I567T, I567M,
624 11 S624R, S624N, S624R, S624R,
611 11 Y611D,
626 11 G626S, G626A, G626V,
566 11 C566S, C566R, C566G, C566S, C566F,
641 11 S641P, S641F,
571 11 I571L, I571V,
638 12 K638E, K638D, K638Del, K638R,
632 12 P632A, P632S,
629 12 N629D, N629T, N629S, N629I, N629K, N629K,
616 12 Y616S,
569 12 Y569H, Y569C, Y569X,
643 12
642 12 I642V, I642Del,
633 12 N633D, N633S, N633I,
589 12 L589P,
586 12 L586M,
562 12 H562P, H562R, H562Q, H562Q,
628 12 G628S, G628R, G628Del, G628D, G628A, G628V,
588 13 N588D, N588K, N588K,
648 13 G648A
610 13
560 13 I560fsX, I560M,
609 13 D609N, D609G,
636 13
620 13 S620G, S620I,
570 13
584 13 G584S, G584R, G584C,
572 13 G572S, G572R, G572C, G572D,
626 13 G626S, G626A, G626V,
634 13 T634P, T634A, T634S, T634S, T634I,
639 13 I639F, I639N,
631 13 S631F,
647 13
633 13 N633D, N633S, N633I,
558 14 A558P, A558E, A558V,
557 14
639 14 I639F, I639N,
592 14 Q592X,
621 14 S621R, S621N, S621R, S621R,
623 14 T623I,
624 14 S624R, S624N, S624R, S624R,
624 14 S624R, S624N, S624R, S624R,
563 14 W563G, W563C, W563C, W563X,
635 14 N635I,
628 15 G628S, G628R, G628Del, G628D, G628A, G628V,
646 15
646 15
644 15 V644I, V644F,