KCNH2 Variant P632R Detail

We estimate the penetrance of LQTS for KCNH2 P632R is 85%. We are unaware of any observations of this variant in individuals. P632R is not present in gnomAD. P632R has not been functionally characterized. This residue is located in a Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 8 individuals with LQT2 and 2 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 P632R around 85% (8/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-8.701 0.998 -2 0.95 93
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance density is our previously published method to calculate the average LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT2 Other Disease
LITERATURE, COHORT, AND GNOMAD: - 0 0 0 -
VARIANT FEATURES ALONE: - 10 2 8 -
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

P632R has 78 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. NOTE: 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 15A window. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
632 0 P632A, P632S,
631 4 S631F,
633 5 N633I, N633S, N633D,
638 5 K638Del, K638R, K638E, K638D,
637 5 E637K, E637G, E637X,
629 6 N629S, N629D, N629K, N629K, N629I, N629T,
616 6 Y616S,
634 6 T634A, T634I, T634P, T634S, T634S,
627 7 F627L, F627X, F627L, F627L, F627fsX,
641 7 S641F, S641P,
630 7 V630I, V630A, V630T,
617 8 F617V, F617L, F617L, F617L,
585 8 W585C, W585C,
568 8 W568C, W568C,
584 8 G584R, G584C, G584S,
628 8 G628Del, G628A, G628R, G628S, G628V, G628D,
636 8
640 9 F640L, F640V, F640Del, F640L, F640L,
635 9 N635I,
630 9 V630I, V630A, V630T,
613 9 T613K, T613M, T613A, T613L,
628 9 G628Del, G628A, G628R, G628S, G628V, G628D,
639 9 I639F, I639N,
592 10 Q592X,
642 10 I642V, I642Del,
588 10 N588K, N588D, N588K,
612 10 V612A, V612L, V612L,
621 10 S621R, S621R, S621R, S621N,
626 10 G626V, G626A, G626S,
571 11 I571L, I571V,
620 11 S620G, S620I,
645 11 M645I, M645V, M645L, M645R, M645I, M645L, M645I,
626 11 G626V, G626A, G626S,
593 11 I593K, I593T, I593X, I593R, I593V,
583 11 I583V,
629 11 N629S, N629D, N629K, N629K, N629I, N629T,
644 11 V644F, V644I,
625 11 V625E,
589 11 L589P,
617 12 F617V, F617L, F617L, F617L,
620 12 S620G, S620I,
618 12 T618S, T618S,
586 12 L586M,
609 12 D609G, D609N,
572 12 G572S, G572R, G572D, G572C,
614 12 A614V, A614T,
614 12 A614V, A614T,
615 12 L615F, L615V,
643 12
631 13 S631F,
613 13 T613K, T613M, T613A, T613L,
627 13 F627L, F627X, F627L, F627L, F627fsX,
616 13 Y616S,
589 13 L589P,
619 13
587 13
588 13 N588K, N588D, N588K,
575 13 E575K,
564 14 L564L,
565 14
625 14 V625E,
618 14 T618S, T618S,
567 14 I567M, I567T,
627 14 F627L, F627X, F627L, F627L, F627fsX,
570 14
592 14 Q592X,
585 14 W585C, W585C,
621 14 S621R, S621R, S621R, S621N,
590 15 G590D, G590V,
622 15 L622F,
628 15 G628Del, G628A, G628R, G628S, G628V, G628D,
608 15
569 15 Y569C, Y569X, Y569H,
623 15 T623I,
611 15 Y611D,
624 15 S624R, S624R, S624R, S624N,
626 15 G626V, G626A, G626S,
591 15 D591N, D591H,