KCNH2 Variant G628S

Summary of observed carriers, functional annotations, and structural context for KCNH2 G628S. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

67%

21/29 effective observations

Total carriers

19

18 LQT2 · 1 unaffected

Functional studies

6

Publications with functional data

G628S has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 111% of WT with a standard error of 19%. 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 (%)
-5.801 1.0 0 0.967 97

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
Japan Cohort 2020 5 1 4
Italy Cohort 2020 1 0 1
7889573 1995 None 0 1
11854117 2002 2 0 2
19996378 2009 2 0 2
France Cohort 2020 1 0 1
23995044 2013 1 0 1
10973849 2000 1 0 1
14998624 2004 1 0 1
16379539 2005 1 0 1
15840476 2005 2 0 2
16922724 2006 1 0 1
24218437 2013 1 0 1 congenital LQT
26496715 2015 2 0 2
27492745 2016 1 0 1
29650123 2018 1 0
None 0 2
Literature, cohort, and gnomAD 19 1 18
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)
8700910 Xeno 0 None None None None
9694858 HEK293 0 0 None None None None
9742063 murine 30 None None None None
20947828 murine None None None None
21806934 Xeno 0 None None None None
22876326 HEK293 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)
8700910 Xeno 0 None None None
9694858 HEK293 None None None
9742063 murine None None None
20947828 murine None None None
21806934 Xeno None None None
22876326 HEK293 16 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 G628S.
Neighbour residue Distance (Å) Observed variants
628 0 G628S, G628R, G628Del, G628D, G628A, G628V,
629 4 N629D, N629T, N629S, N629I, N629K, N629K,
630 5 V630I, V630T, V630A,
627 6 F627L, F627fsX, F627X, F627L, F627L,
631 6 S631F,
626 6 G626S, G626A, G626V,
628 6 G628S, G628R, G628Del, G628D, G628A, G628V,
628 6 G628S, G628R, G628Del, G628D, G628A, G628V,
627 7 F627L, F627fsX, F627X, F627L, F627L,
631 7 S631F,
629 8 N629D, N629T, N629S, N629I, N629K, N629K,
632 8 P632A, P632S,
626 8 G626S, G626A, G626V,
626 8 G626S, G626A, G626V,
616 9 Y616S,
628 9 G628S, G628R, G628Del, G628D, G628A, G628V,
617 9 F617L, F617V, F617L, F617L,
632 9 P632A, P632S,
620 9 S620G, S620I,
630 9 V630I, V630T, V630A,
625 10 V625E,
633 10 N633D, N633S, N633I,
592 10 Q592X,
629 10 N629D, N629T, N629S, N629I, N629K, N629K,
588 10 N588D, N588K, N588K,
626 10 G626S, G626A, G626V,
627 10 F627L, F627fsX, F627X, F627L, F627L,
625 10 V625E,
613 11 T613A, T613L, T613K, T613M,
630 11 V630I, V630T, V630A,
627 11 F627L, F627fsX, F627X, F627L, F627L,
638 11 K638E, K638D, K638Del, K638R,
621 11 S621R, S621N, S621R, S621R,
633 11 N633D, N633S, N633I,
589 12 L589P,
585 12 W585C, W585C,
625 12 V625E,
629 12 N629D, N629T, N629S, N629I, N629K, N629K,
631 12 S631F,
641 12 S641P, S641F,
616 12 Y616S,
617 12 F617L, F617V, F617L, F617L,
625 13 V625E,
620 13 S620G, S620I,
621 13 S621R, S621N, S621R, S621R,
614 13 A614T, A614V,
631 13 S631F,
588 13 N588D, N588K, N588K,
620 13 S620G, S620I,
624 13 S624R, S624N, S624R, S624R,
592 13 Q592X,
641 13 S641P, S641F,
618 13 T618S, T618S,
568 13 W568C, W568C,
584 13 G584S, G584R, G584C,
637 13 E637K, E637G, E637X,
637 13 E637K, E637G, E637X,
645 13 M645L, M645V, M645L, M645R, M645I, M645I, M645I
638 14 K638E, K638D, K638Del, K638R,
624 14 S624R, S624N, S624R, S624R,
630 14 V630I, V630T, V630A,
634 14 T634P, T634A, T634S, T634S, T634I,
591 14 D591N, D591H,
593 14 I593V, I593K, I593T, I593R, I593X,
623 14 T623I,
584 14 G584S, G584R, G584C,
616 14 Y616S,
624 14 S624R, S624N, S624R, S624R,
619 14
586 14 L586M,
615 14 L615V, L615F,
642 14 I642V, I642Del,
592 14 Q592X,
612 14 V612L, V612L, V612A,
590 14 G590D, G590V,
617 15 F617L, F617V, F617L, F617L,
585 15 W585C, W585C,
632 15 P632A, P632S,
645 15 M645L, M645V, M645L, M645R, M645I, M645I, M645I
634 15 T634P, T634A, T634S, T634S, T634I,
588 15 N588D, N588K, N588K,
624 15 S624R, S624N, S624R, S624R,