KCNH2 Variant K801T Detail

We estimate the penetrance of LQTS for KCNH2 K801T is 69%. This variant was found in a total of 1 carriers in 1 papers or gnomAD, 1 had LQTS. K801T is not present in gnomAD. K801T has been functionally characterized in 1 papers. 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 6 individuals with LQT2 and 4 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 K801T around 69% (7/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-5.408 0.943 -1 0.901 73
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
30481776 2018 4 0 1
LITERATURE, COHORT, AND GNOMAD: - 1 0 1 -
VARIANT FEATURES ALONE: - 10 4 6 -
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.

Functional Data Homozygously Collected

Steady state (S.S.) and peak tail current are relative % to wildtype (100% being no different from wildtype). V0.5 act/inact are the voltages at which half of the maximal current is reached during an activation and inactivation protocol, each is in units of mV and relative to wildtype. Recovery from inactivation (Rec. inact.) and deactivation time (Deactivation) are the ratio of characteristic time constants with wildtype (unitless).

PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Recov. Inact. Deactivation (%WT)
30481776 HEK293 175 -12.5 15.2 None None

Functional Data Heterozygously Collected

Functional parameters are the same as defined above.

PubMed ID Cell Type S.S Peak (%WT) Peak Tail IKr (%WT) V1/2 Act. V1/2 Inact. Deactivation (%WT)
30481776 HEK293 None None None

K801T has 50 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
801 0 K801T,
800 5
802 5
785 5 G785S, G785D, G785fsX,
783 5 S783P,
782 7 I782N, I782fsX,
784 7 R784Q, R784G, R784W,
803 7 D803X, D803Y,
786 8
799 9 L799sp,
829 9 D829A, D829E, D829E,
46 9 D46Y, D46E, D46E,
828 10
787 10
735 10 S735L,
56 10 R56Q,
739 11 H739fsX,
43 11 Y43C, Y43D,
830 11
45 11 N45K, N45K, N45D,
798 11 I798fsX,
826 11 T826A, T826I,
19 11 I19F,
736 11
804 11
781 11
20 11 R20G, R20L,
740 11 C740W, C740G,
16 11 D16A,
44 11 C44X, C44W, C44F,
23 12
831 12
859 13 T859R, T859M,
825 13
805 13 F805S, F805C,
788 14 E788K, E788D, E788D,
824 14
47 14 G47V, G47C,
763 14
827 14
797 14 A797T,
741 14 K741R,
734 14 R734H, R734C,
49 14 C49R, C49G,
762 14
738 14 Q738X,
29 14 F29S, F29V, F29L, F29L, F29L,
780 15
24 15
15 15 L15V,