KCNH2 Variant F852Y Detail

We estimate the penetrance of LQTS for KCNH2 F852Y is 16%. We are unaware of any observations of this variant in individuals. F852Y is not present in gnomAD. We have tested the trafficking efficiency of this variant, 17% of WT with a standard error of 2%; 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. F852Y 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 1 individuals with LQT2 and 9 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 F852Y around 16% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-2.777 1.0 3 0.919 68
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 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.

F852Y has 53 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
852 0
853 4 W853X,
856 5
742 6
848 6
849 6
855 6 S855R, S855R, S855R,
851 6
743 7
854 7
842 8
850 8 D850N,
745 9 G745X, G745A,
838 9 L838R,
810 10
809 10
741 10 K741R,
754 10
746 10 A746S, A746X,
857 10 E857X,
841 10 V841L, V841L,
750 10 C750X,
740 11 C740W, C740G,
808 11
779 11
858 11 I858V, I858T,
839 11
845 11
846 11 P846S, P846T,
804 11
781 11
744 11 R744P, R744G, R744Q, R744X, R744fsX,
737 12 L737P,
847 12
751 12 L751V,
833 12
736 12
747 12
843 12
758 13
753 13 A753S,
806 14 G806R, G806R,
835 14 R835W, R835Q, R835fsX,
811 14
807 14 E807X,
844 14 M844V,
749 14
755 14
837 14 D837G, D837N, D837Y,
757 14
840 14 E840Q,
778 15 A778T,
859 15 T859M, T859R,