KCNH2 Variant F958V Detail

We estimate the penetrance of LQTS for KCNH2 F958V is 8%. We are unaware of any observations of this variant in individuals. F958V is not present in gnomAD. We have tested the trafficking efficiency of this variant, 114% of WT with a standard error of 3%; 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. F958V has not been functionally characterized. This residue is located in a Non_Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 0 individuals with LQT2 and 10 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 F958V around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-1.006 0.276 0 0.534 0
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 10 0 -
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.

F958V has 31 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
958 0 F958L, F958L, F958L,
957 4
959 4
956 5
960 5 S960N,
955 7 L955V,
961 7 P961X,
954 8 R954C, R954H,
962 8
953 8
963 8 P963T,
952 9 P952T, P952S,
964 9 G964X,
951 10
965 10 G965R, G965X, G965R, G965fsX,
950 11
966 11 E966K, E966A,
949 11 S949R, S949R, S949R,
967 11 P967X, P967L,
948 12 R948H, R948C, R948S,
968 12 P968A, P968L, P968fsX,
947 13 G947D,
969 13 G969D, G969X,
946 13 P946R, P946fsX,
970 13 G970A,
945 14
971 14
944 14 E944D, E944D,
972 14 P972H, P972S,
943 15
973 15 L973X,