KCNH2 Variant W1001L Detail

We estimate the penetrance of LQTS for KCNH2 W1001L is 9%. This variant was found in a total of 1 carriers in 0 papers or gnomAD (version 4), 0 had LQTS. W1001L is present in 1 alleles in gnomAD. W1001L 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 1 individuals with LQT2 and 9 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 W1001L around 9% (1/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-6.072 0.798 -3 0.877 1
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: - 1 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.

W1001L 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
1001 0 W1001X, W1001C, W1001C,
1000 4
1002 4 G1002E,
999 5 S999X,
1003 5 D1003H, D1003Y,
998 7
1004 7 S1004T, S1004I,
997 8 I997X,
1005 8 R1005Q, R1005fsX,
996 8 N996X, N996I,
1006 8 G1006fsX, G1006V,
995 9
1007 9 R1007H, R1007C,
994 10
1008 10
993 11
1009 11 Y1009X,
992 11
1010 11
991 12 F991fsX,
1011 12 E1011K,
990 13 A990T,
1012 13 L1012fsX,
989 13 G989D, G989S,
1013 13
988 14 S988L, S988A, S988P,
1014 14 R1014X, R1014fsX,
987 14 L987P, L987X, L987fsX,
1015 14 C1015Y,
986 15 P986T, P986fsX, P986L,
1016 15