KCNH2 Variant N629K

Summary of observed carriers, functional annotations, and structural context for KCNH2 N629K. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

37%

4/11 effective observations

Total carriers

1

1 LQT2 · 0 unaffected

Functional studies

1

Publications with functional data

N629K 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 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 (%)
-5.801 1.0 0 0.769 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
Japan Cohort 2020 1 0 1
10517660 1999 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)
10517660 COS7 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)
10517660 COS7 9 -4.2 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 N629K.
Neighbour residue Distance (Å) Observed variants
629 0 N629I, N629S, N629T, N629K, N629K, N629D
628 4 G628A, G628D, G628R, G628S, G628V, G628Del,
630 5 V630T, V630A, V630I,
631 5 S631F,
632 6 P632S, P632A,
633 6 N633I, N633S, N633D,
627 6 F627L, F627fsX, F627L, F627X, F627L,
592 7 Q592X,
616 7 Y616S,
631 7 S631F,
628 8 G628A, G628D, G628R, G628S, G628V, G628Del,
638 8 K638D, K638E, K638R, K638Del,
626 9 G626A, G626S, G626V,
613 9 T613K, T613L, T613A, T613M,
630 9 V630T, V630A, V630I,
588 9 N588K, N588D, N588K,
589 9 L589P,
617 9 F617L, F617V, F617L, F617L,
628 10 G628A, G628D, G628R, G628S, G628V, G628Del,
627 10 F627L, F627fsX, F627L, F627X, F627L,
634 10 T634I, T634S, T634A, T634S, T634P,
637 10 E637K, E637G, E637X,
620 10 S620G, S620I,
626 10 G626A, G626S, G626V,
629 10 N629I, N629S, N629T, N629K, N629K, N629D
629 10 N629I, N629S, N629T, N629K, N629K, N629D
593 11 I593K, I593R, I593X, I593T, I593V,
588 11 N588K, N588D, N588K,
585 11 W585C, W585C,
641 11 S641F, S641P,
584 11 G584C, G584S, G584R,
632 11 P632S, P632A,
625 11 V625E,
614 11 A614V, A614T,
591 12 D591N, D591H,
617 12 F617L, F617V, F617L, F617L,
628 12 G628A, G628D, G628R, G628S, G628V, G628Del,
626 12 G626A, G626S, G626V,
590 12 G590V, G590D,
612 12 V612L, V612L, V612A,
635 12 N635I,
627 12 F627L, F627fsX, F627L, F627X, F627L,
585 12 W585C, W585C,
633 13 N633I, N633S, N633D,
621 13 S621R, S621R, S621N, S621R,
583 13 I583V,
609 13 D609N, D609G,
586 13 L586M,
621 13 S621R, S621R, S621N, S621R,
568 13 W568C, W568C,
584 13 G584C, G584S, G584R,
642 13 I642Del, I642V,
626 13 G626A, G626S, G626V,
615 13 L615V, L615F,
618 13 T618S, T618S,
645 13 M645L, M645L, M645R, M645I, M645I, M645I, M645V,
636 13
620 13 S620G, S620I,
625 13 V625E,
568 13 W568C, W568C,
639 14 I639N, I639F,
625 14 V625E,
592 14 Q592X,
640 14 F640Del, F640L, F640L, F640L, F640V,
619 14
637 14 E637K, E637G, E637X,
630 14 V630T, V630A, V630I,
610 14
631 14 S631F,
594 15
627 15 F627L, F627fsX, F627L, F627X, F627L,
616 15 Y616S,
589 15 L589P,
592 15 Q592X,
587 15
629 15 N629I, N629S, N629T, N629K, N629K, N629D
624 15 S624R, S624N, S624R, S624R,