KCNH2 Variant G648A

Summary of observed carriers, functional annotations, and structural context for KCNH2 G648A. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT2 penetrance

22%

90% CI: 10.1% – 53.1%

3/11 effective observations

Total carriers

1

1 LQT2 · 0 unaffected

Functional studies

1

Publications with functional data

G648A has not been reported in gnomAD. This residue resides in a Hotspot region for LQT2.

We have tested the trafficking efficiency of this variant: 91% of WT with a standard error of 16%. 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 2 individuals with LQT2 and 8 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT2 (%)
-5.801 1.0 0 0.934 83

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
France Cohort 2020 1 0 1
Literature, cohort, and gnomAD 1 0 1
Variant features alone 10 8 2

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)
17823114 Xeno 9.0 None None 1.060402685

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)
17823114 Xeno 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 G648A.
Neighbour residue Distance (Å) Observed variants
648 0 G648A,
649 3
647 4
622 5 L622F,
651 5 M651K,
650 5 L650X,
644 6 V644I, V644F,
646 6
652 7 Y652X,
645 7 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
653 8
621 8 S621R, S621N, S621R, S621R,
623 8 T623I,
623 8 T623I,
643 9
624 9 S624R, S624N, S624R, S624R,
654 9
557 9
560 9 I560fsX, I560M,
656 9 F656L, F656L, F656L,
655 10
652 10 Y652X,
618 10 T618S, T618S,
656 10 F656L, F656L, F656L,
641 10 S641P, S641F,
642 10 I642V, I642Del,
625 11 V625E,
620 11 S620G, S620I,
624 11 S624R, S624N, S624R, S624R,
619 11
554 11
564 11 L564L,
619 11
561 11 A561T, A561P, A561V,
557 11
640 12 F640L, F640V, F640Del, F640L, F640L,
620 12 S620G, S620I,
625 12 V625E,
622 12 L622F,
649 12
659 12
617 13 F617L, F617V, F617L, F617L,
660 13 S660L
556 13
558 13 A558P, A558E, A558V,
657 13 G657S, G657V,
624 13 S624R, S624N, S624R, S624R,
645 13 M645L, M645V, M645L, M645R, M645I, M645I, M645I,
655 13
626 13 G626S, G626A, G626V,
627 14 F627L, F627fsX, F627X, F627L, F627L,
626 14 G626S, G626A, G626V,
558 14 A558P, A558E, A558V,
553 14 L553V,
657 14 G657S, G657V,
646 14
554 14
550 14
653 14
621 14 S621R, S621N, S621R, S621R,
563 14 W563G, W563C, W563C, W563X,
559 14 L559F, L559H,
658 14
663 14
624 14 S624R, S624N, S624R, S624R,
616 15 Y616S,
565 15
639 15 I639F, I639N,
615 15 L615V, L615F,
653 15
553 15 L553V,
648 15 G648A,
648 15 G648A,
652 15 Y652X,
651 15 M651K,