KCNH2 Variant V1063D Detail

We estimate the penetrance of LQTS for KCNH2 V1063D is 10%. We are unaware of any observations of this variant in individuals. V1063D is not present in gnomAD. We have tested the trafficking efficiency of this variant, 86% of WT with a standard error of 0%; in our analysis we used SE < 20% as 'high quality'. Approximately below 50% of WT is considered PS3 moderate and below 30% is PS3 strong. V1063D 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 V1063D around 10% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-4.908 0.948 -4 0.692 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: - 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.

V1063D 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
1063 0 V1063L, V1063I,
1062 4 T1062X, T1062P, T1062I,
1064 4 L1064X,
1061 5 A1061P,
1065 5
1060 7 M1060V, M1060I, M1060I, M1060I,
1066 7
1059 8 D1059E, D1059E,
1067 8
1058 8 A1058T, A1058E,
1068 8 Q1068R, Q1068X,
1057 9 S1057N, S1057fsX,
1069 9 R1069S, R1069S,
1056 10 L1056fsX,
1070 10 Q1070X, Q1070P,
1055 11 R1055W, R1055Q,
1071 11 M1071V,
1054 11 T1054fsX,
1072 11 T1072M, T1072S,
1053 12 E1053fsX, E1053X,
1073 12 L1073P,
1052 13
1074 13
1051 13
1075 13 P1075L,
1050 14
1076 14
1049 14
1077 14 A1077T, A1077D,
1048 15
1078 15 Y1078C,