KCNH2 Variant S620G

Summary of observed carriers, functional annotations, and structural context for KCNH2 S620G. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

40%

4/11 effective observations

Total carriers

1

1 LQT2 · 0 unaffected

Functional studies

1

Publications with functional data

S620G has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 55% of WT with a standard error of 13%. 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 (%)
-3.82 0.216 0 0.846 86

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
26066609 2015 1 0 1
Literature, cohort, and gnomAD 1 0 1
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)
26066609 Xeno 7 None None None None

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)
26066609 Xeno 44 44 -1.1 -23.6 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 S620G.
Neighbour residue Distance (Å) Observed variants
620 0 S620G, S620I,
621 4 S621R, S621N, S621R, S621R,
625 5 V625E,
626 5 G626S, G626A, G626V,
623 5 T623I,
617 5 F617L, F617V, F617L, F617L,
618 6 T618S, T618S,
619 6
616 6 Y616S,
627 6 F627L, F627fsX, F627X, F627L, F627L,
622 6 L622F,
645 6 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
624 6 S624R, S624N, S624R, S624R,
625 7 V625E,
627 8 F627L, F627fsX, F627X, F627L, F627L,
642 8 I642V, I642Del,
641 9 S641P, S641F,
630 9 V630I, V630T, V630A,
615 9 L615V, L615F,
624 9 S624R, S624N, S624R, S624R,
626 9 G626S, G626A, G626V,
644 9 V644I, V644F,
626 9 G626S, G626A, G626V,
621 9 S621R, S621N, S621R, S621R,
628 9 G628S, G628R, G628Del, G628D, G628A, G628V,
614 10 A614T, A614V,
645 10 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
641 10 S641P, S641F,
561 10 A561T, A561P, A561V,
629 10 N629D, N629T, N629S, N629I, N629K, N629K,
613 10 T613A, T613L, T613K, T613M,
624 10 S624R, S624N, S624R, S624R,
625 10 V625E,
631 11 S631F,
648 11 G648A,
638 11 K638E, K638D, K638Del, K638R,
632 11 P632A, P632S,
644 11 V644I, V644F,
646 11
564 11 L564L,
568 11 W568C, W568C,
652 11 Y652X,
557 11
649 11
565 11
623 11 T623I,
620 11 S620G, S620I,
620 11 S620G, S620I,
632 12 P632A, P632S,
640 12 F640L, F640V, F640Del, F640L, F640L,
626 12 G626S, G626A, G626V,
625 12 V625E,
648 12 G648A,
612 12 V612L, V612L, V612A,
631 12 S631F,
624 12 S624R, S624N, S624R, S624R,
622 12 L622F,
643 12
623 12 T623I,
628 13 G628S, G628R, G628Del, G628D, G628A, G628V,
560 13 I560fsX, I560M,
628 13 G628S, G628R, G628Del, G628D, G628A, G628V,
558 13 A558P, A558E, A558V,
649 13
617 13 F617L, F617V, F617L, F617L,
639 13 I639F, I639N,
647 13
616 13 Y616S,
627 13 F627L, F627fsX, F627X, F627L, F627L,
640 13 F640L, F640V, F640Del, F640L, F640L,
642 13 I642V, I642Del,
629 13 N629D, N629T, N629S, N629I, N629K, N629K,
643 13
585 14 W585C, W585C,
651 14 M651K,
647 14
611 14 Y611D,
630 14 V630I, V630T, V630A,
562 14 H562P, H562R, H562Q, H562Q,
637 14 E637K, E637G, E637X,
627 14 F627L, F627fsX, F627X, F627L, F627L,
633 14 N633D, N633S, N633I,
646 14
618 14 T618S, T618S,
621 14 S621R, S621N, S621R, S621R,
637 14 E637K, E637G, E637X,
652 15 Y652X,
656 15 F656L, F656L, F656L
638 15 K638E, K638D, K638Del, K638R,
619 15
567 15 I567T, I567M,
566 15 C566S, C566R, C566G, C566S, C566F,