KCNH2 Variant P1013T Detail

We estimate the penetrance of LQTS for KCNH2 P1013T is 8%. This variant was found in a total of 1 carriers in 0 papers or gnomAD (version 4), 0 had LQTS. P1013T is present in 1 alleles in gnomAD. P1013T 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 P1013T around 8% (0/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-3.404 0.888 -1 0.73 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 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.

P1013T 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
1013 0
1012 4 L1012fsX,
1014 4 R1014X, R1014fsX,
1011 5 E1011K,
1015 5 C1015Y,
1010 7
1016 7
1009 8 Y1009X,
1017 8 A1017S, A1017V, A1017fsX, A1017T,
1008 8
1018 8 P1018L, P1018A,
1007 9 R1007C, R1007H,
1019 9
1006 10 G1006fsX, G1006V,
1020 10
1005 11 R1005fsX, R1005Q,
1021 11 S1021fsX, S1021N,
1004 11 S1004I, S1004T,
1022 11
1003 12 D1003Y, D1003H,
1023 12 L1023Del, L1023P,
1002 13 G1002E,
1024 13
1001 13 W1001C, W1001X, W1001C,
1025 13
1000 14
1026 14 P1026R,
999 14 S999X,
1027 14 L1027I,
998 15
1028 15 S1028Del,