KCNH2 Variant C740G Detail

We estimate the penetrance of LQTS for KCNH2 C740G is 9%. This variant was found in a total of 1 carriers in 0 papers or gnomAD (version 4), 0 had LQTS. C740G is present in 1 alleles in gnomAD. We have tested the trafficking efficiency of this variant, 99% of WT with a standard error of 8%; 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. C740G has not been functionally characterized. This residue is located in a Non_Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 1 individuals with LQT2 and 9 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 C740G around 9% (1/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-11.522 0.882 -3 0.861 7
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: - 1 1 0 -
VARIANT FEATURES ALONE: - 10 9 1 -
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.

C740G has 51 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
740 0 C740W, C740G,
741 5 K741R,
739 5 H739fsX,
736 5
743 6
742 6
744 6 R744P, R744Q, R744G, R744X, R744fsX,
737 7 L737P,
802 7
735 7 S735L,
738 7 Q738X,
781 8
856 9
804 9
855 10 S855R, S855R, S855R,
803 10 D803Y, D803X,
745 10 G745X, G745A,
783 10 S783P,
857 11 E857X,
852 11
782 11 I782N, I782fsX,
733 11
831 11
801 11 K801T,
734 12 R734C, R734H,
751 12 L751V,
746 12 A746S, A746X,
851 12
858 13 I858V, I858T,
758 13
754 13
800 13
848 13
779 13
859 13 T859M, T859R,
56 13 R56Q,
730 13
854 13
46 14 D46Y, D46E, D46E,
853 14 W853X,
755 14
784 14 R784Q, R784G, R784W,
830 14
805 14 F805S, F805C,
750 14 C750X,
55 14 S55L,
833 15
780 15
732 15
799 15 L799sp,
747 15