KCNH2 Variant R863X Detail

We estimate the penetrance of LQTS for KCNH2 R863X is %. This variant was found in a total of 30 carriers in 7 papers or gnomAD, 23 had LQTS. R863X is present in 2 alleles in gnomAD. R863X has been functionally characterized in 3 papers. This residue is located in a None region for LQT2.

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
None None None None
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
Japan Cohort 2020 5 1 4
Italy Cohort 2020 6 1 5
France Cohort 2020 3 1 2
14714110 2004 7 1 6
15840476 2005 1 0 1
22515331 2012 1 0 1 seizure
26496715 2015 3 0 3
LITERATURE, COHORT, AND GNOMAD: - 30 7 23 -
VARIANT FEATURES ALONE: - 10 NA NA -
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)
14714110 CHO 0 0 None None None None
19324319 HEK293 0 None None None None
24366185 HEK293 0 None None 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)
14714110 CHO 30 None None None
19324319 HEK293 59 None None None
24366185 HEK293 None None None