KCNH2 Variant N629D

Summary of observed carriers, functional annotations, and structural context for KCNH2 N629D. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

52%

6/13 effective observations

Total carriers

3

3 LQT2 · 0 unaffected

Functional studies

4

Publications with functional data

N629D 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 0%. 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 (%)
-4.834 1.0 1 0.827 96

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
9544837 1998 None 0 3
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.

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)
10720411 Xeno 27 -11.0 None None 0.39
12618226 Xeno None None None None
14736543 hiPSC-CM None None None None
18948620 murine 0 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)
10720411 Xeno -11.0 None None
12618226 Xeno None None None
14736543 hiPSC-CM None None None
18948620 murine 10 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 N629D.
Neighbour residue Distance (Å) Observed variants
629 0 N629D, N629T, N629S, N629I, N629K, N629K,
628 4 G628S, G628R, G628Del, G628D, G628A, G628V,
630 5 V630I, V630T, V630A,
631 5 S631F,
632 6 P632A, P632S,
633 6 N633D, N633S, N633I,
627 6 F627L, F627fsX, F627X, F627L, F627L,
592 7 Q592X,
616 7 Y616S,
631 7 S631F,
628 8 G628S, G628R, G628Del, G628D, G628A, G628V,
638 8 K638E, K638D, K638Del, K638R,
626 9 G626S, G626A, G626V,
613 9 T613A, T613L, T613K, T613M,
630 9 V630I, V630T, V630A,
588 9 N588D, N588K, N588K,
589 9 L589P,
617 9 F617L, F617V, F617L, F617L,
628 10 G628S, G628R, G628Del, G628D, G628A, G628V,
627 10 F627L, F627fsX, F627X, F627L, F627L,
634 10 T634P, T634A, T634S, T634S, T634I,
637 10 E637K, E637G, E637X,
620 10 S620G, S620I,
626 10 G626S, G626A, G626V,
629 10 N629D, N629T, N629S, N629I, N629K, N629K,
629 10 N629D, N629T, N629S, N629I, N629K, N629K,
593 11 I593V, I593K, I593T, I593R, I593X,
588 11 N588D, N588K, N588K,
585 11 W585C, W585C,
641 11 S641P, S641F,
584 11 G584S, G584R, G584C,
632 11 P632A, P632S,
625 11 V625E,
614 11 A614T, A614V,
591 12 D591N, D591H,
617 12 F617L, F617V, F617L, F617L,
628 12 G628S, G628R, G628Del, G628D, G628A, G628V,
626 12 G626S, G626A, G626V,
590 12 G590D, G590V,
612 12 V612L, V612L, V612A,
635 12 N635I,
627 12 F627L, F627fsX, F627X, F627L, F627L,
585 12 W585C, W585C,
633 13 N633D, N633S, N633I,
621 13 S621R, S621N, S621R, S621R,
583 13 I583V,
609 13 D609N, D609G,
586 13 L586M,
621 13 S621R, S621N, S621R, S621R,
568 13 W568C, W568C,
584 13 G584S, G584R, G584C,
642 13 I642V, I642Del,
626 13 G626S, G626A, G626V,
615 13 L615V, L615F,
618 13 T618S, T618S,
645 13 M645L, M645V, M645L, M645R, M645I, M645I, M645I
636 13
620 13 S620G, S620I,
625 13 V625E,
568 13 W568C, W568C,
639 14 I639F, I639N,
625 14 V625E,
592 14 Q592X,
640 14 F640L, F640V, F640Del, F640L, F640L,
619 14
637 14 E637K, E637G, E637X,
630 14 V630I, V630T, V630A,
610 14
631 14 S631F,
594 15
627 15 F627L, F627fsX, F627X, F627L, F627L,
616 15 Y616S,
589 15 L589P,
592 15 Q592X,
587 15
629 15 N629D, N629T, N629S, N629I, N629K, N629K,
624 15 S624R, S624N, S624R, S624R,