KCNH2 Variant G1031S Detail

We estimate the penetrance of LQTS for KCNH2 G1031S is 8%. We are unaware of any observations of this variant in individuals. G1031S is not present in gnomAD. G1031S 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 G1031S around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
0.025 0.0 4 0.627 7
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.

G1031S 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
1031 0 G1031C, G1031fsX, G1031X,
1030 4 P1030X, P1030L,
1032 4 R1032Q, R1032W, R1032fsX, R1032P, R1032X,
1029 5 S1029fsX,
1033 5 R1033fsX, R1033X, R1033Q, R1033W,
1028 7 S1028Del,
1034 7 P1034fsX, P1034X,
1027 8 L1027I,
1035 8 R1035fsX, R1035Q, R1035W, R1035X,
1026 8 P1026R,
1036 8 G1036D, G1036fsX, G1036X, G1036Del,
1025 9
1037 9 D1037fsX, D1037E, D1037N, D1037E, D1037X,
1024 10
1038 10 V1038L, V1038X, V1038L, V1038M, V1038fsX,
1023 11 L1023Del, L1023P,
1039 11 E1039X,
1022 11
1040 11
1021 12 S1021N, S1021fsX,
1041 12
1020 13
1042 13
1019 13
1043 13 D1043G,
1018 14 P1018L, P1018A,
1044 14
1017 14 A1017S, A1017V, A1017T, A1017fsX,
1045 14 L1045F,
1016 15
1046 15 Q1046X,