KCNH2 Variant D1037G Detail

We estimate the penetrance of LQTS for KCNH2 D1037G is 9%. We are unaware of any observations of this variant in individuals. D1037G is not present in gnomAD. D1037G 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 D1037G around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-3.473 0.462 -4 0.518 9
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.

D1037G 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
1037 0 D1037N, D1037X, D1037fsX, D1037E, D1037E,
1036 4 G1036Del, G1036D, G1036fsX, G1036X,
1038 4 V1038L, V1038L, V1038X, V1038M, V1038fsX,
1035 5 R1035W, R1035X, R1035fsX, R1035Q,
1039 5 E1039X,
1034 7 P1034X, P1034fsX,
1040 7
1033 8 R1033W, R1033Q, R1033fsX, R1033X,
1041 8
1032 8 R1032W, R1032P, R1032Q, R1032X, R1032fsX,
1042 8
1031 9 G1031X, G1031fsX, G1031C,
1043 9 D1043G,
1030 10 P1030X, P1030L,
1044 10
1029 11 S1029fsX,
1045 11 L1045F,
1028 11 S1028Del,
1046 11 Q1046X,
1027 12 L1027I,
1047 12 R1047H, R1047L, R1047C,
1026 13 P1026R,
1048 13
1025 13
1049 13
1024 14
1050 14
1023 14 L1023Del, L1023P,
1051 14
1022 15
1052 15