KCNH2 Variant V795I Detail

We estimate the penetrance of LQTS for KCNH2 V795I is 14%. This variant was found in a total of 2 carriers in 0 papers or gnomAD, 0 had LQTS. V795I is present in 2 alleles in gnomAD. V795I has not been functionally characterized. This residue is located in a Mild_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 V795I around 14% (1/12).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-0.964 0.972 3 0.698 29
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: - 2 2 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.

V795I has 61 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
795 0 V795I,
794 4 V794I, V794D,
796 4 V796Del, V796L, V796L,
790 6
797 6 A797T,
33 6 N33T,
788 6 E788D, E788D, E788K,
42 6 I42N,
789 7
12 7 N12D,
798 8 I798fsX,
793 8 D793N,
124 8 M124T, M124R,
32 9 A32T,
791 9 R791Q, R791W,
15 9 L15V,
36 9 V36X,
792 9
35 9 R35W,
40 9
123 9
34 9 A34T,
31 9 I31S,
823 10 R823Q, R823fsX, R823W, R823T,
41 10 V41A,
11 10 Q11H, Q11L, Q11H,
14 10
821 11 D821E, D821E,
822 11 V822L, V822M, V822L,
39 11 C39X, C39R,
799 11 L799sp,
787 11
820 11 G820R, G820R,
43 11 Y43C, Y43D,
825 11
61 12 Q61R,
60 12 M60T,
13 12 T13N,
860 12
125 12
824 12
10 12
786 12
819 13 N819K, N819K,
37 13
122 13
16 13 D16A,
115 13 V115M,
30 14 I30Del, I30T,
18 14 I18M,
19 14 I19F,
38 14
126 14
44 14 C44W, C44X, C44F,
64 14 C64R, C64Y,
800 14
766 14
121 15 A121fsX,
859 15 T859M, T859R,
117 15
63 15 P63H,