KCNH2 Variant G1036C Detail

We estimate the penetrance of LQTS for KCNH2 G1036C is 13%. We are unaware of any observations of this variant in individuals. G1036C is not present in gnomAD. G1036C has not been functionally characterized. This residue is located in a Mild_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 G1036C around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-2.569 0.033 0 0.453 32
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 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.

G1036C 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
1036 0 G1036Del, G1036D, G1036fsX, G1036X,
1035 4 R1035W, R1035X, R1035fsX, R1035Q,
1037 4 D1037N, D1037X, D1037fsX, D1037E, D1037E,
1034 5 P1034X, P1034fsX,
1038 5 V1038L, V1038L, V1038X, V1038M, V1038fsX,
1033 7 R1033W, R1033Q, R1033fsX, R1033X,
1039 7 E1039X,
1032 8 R1032W, R1032P, R1032Q, R1032X, R1032fsX,
1040 8
1031 8 G1031X, G1031fsX, G1031C,
1041 8
1030 9 P1030X, P1030L,
1042 9
1029 10 S1029fsX,
1043 10 D1043G,
1028 11 S1028Del,
1044 11
1027 11 L1027I,
1045 11 L1045F,
1026 12 P1026R,
1046 12 Q1046X,
1025 13
1047 13 R1047H, R1047L, R1047C,
1024 13
1048 13
1023 14 L1023Del, L1023P,
1049 14
1022 14
1050 14
1021 15 S1021N, S1021fsX,
1051 15