KCNH2 Variant F805I Detail

We estimate the penetrance of LQTS for KCNH2 F805I is 27%. We are unaware of any observations of this variant in individuals. F805I is not present in gnomAD. We have tested the trafficking efficiency of this variant, 96% of WT with a standard error of 10%; 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. F805I 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 2 individuals with LQT2 and 8 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 F805I around 27% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-5.539 0.927 0 0.972 76
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 8 2 -
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.

F805I has 81 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
805 0 F805C, F805S,
780 4
806 5 G806R, G806R,
804 5
779 6
859 7 T859M, T859R,
860 7
781 7
799 7 L799sp,
782 7 I782fsX, I782N,
803 7 D803Y, D803X,
858 8 I858V, I858T,
862 8 L862P,
778 8 A778T,
787 8
822 8 V822L, V822M, V822L,
789 9
770 9
769 9
830 9
776 9 L776P, L776I,
807 9 E807X,
861 9 N861H, N861I,
832 10
800 10
797 10 A797T,
831 10
833 10
820 11 G820R, G820R,
808 11
777 11
818 11 S818A, S818W, S818L,
788 11 E788K, E788D, E788D,
802 12
761 12
798 12 I798fsX,
819 12 N819K, N819K,
783 12 S783P,
821 12 D821E, D821E,
828 12
56 12 R56Q,
786 12
824 12
856 12
857 12 E857X,
57 12 A57P,
60 13 M60T,
785 13 G785fsX, G785D, G785S,
790 13
763 13
796 13 V796L, V796Del, V796L,
823 13 R823W, R823fsX, R823Q, R823T,
834 13 H834R,
768 13
771 13 H771fsX, H771R,
801 13 K801T,
774 13 D774X, D774Y,
829 13 D829E, D829A, D829E,
736 13
816 13 G816V,
809 13
758 13
835 14 R835Q, R835W, R835fsX,
61 14 Q61R,
759 14 K759N, K759N,
772 14
775 14
740 14 C740G, C740W,
767 14 D767X,
42 14 I42N,
760 14
825 14
838 15 L838R,
853 15 W853X,
791 15 R791W, R791Q,
44 15 C44W, C44X, C44F,
773 15
863 15 R863P, R863X,
43 15 Y43C, Y43D,
762 15
723 15 C723X, C723R, C723G,