KCNH2 Variant S1090F Detail

We estimate the penetrance of LQTS for KCNH2 S1090F is 7%. This variant was found in a total of 1 carriers in 0 papers or gnomAD (version 4), 0 had LQTS. S1090F is present in 1 alleles in gnomAD. We have tested the trafficking efficiency of this variant, 90% of WT with a standard error of 3%; 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. S1090F 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 S1090F around 7% (0/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-1.729 0.894 0 0.485 0
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 1 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.

S1090F 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
1090 0 S1090F,
1089 4 T1089A, T1089I,
1091 4
1088 5
1092 5 S1092F,
1087 7 G1087X,
1093 7 P1093R, P1093L,
1086 8 P1086fsX, P1086X,
1094 8 L1094M,
1085 8 G1085X,
1095 8
1084 9 P1084L, P1084X, P1084R,
1096 9
1083 10 T1083A, T1083fsX,
1097 10 V1097I,
1082 11
1098 11 S1098R, S1098R, S1098R,
1081 11
1099 11 P1099L,
1080 12
1100 12
1079 13 S1079N,
1101 13 P1101fsX,
1078 13 Y1078C,
1102 13
1077 14 A1077T, A1077D,
1103 14 L1103P,
1076 14
1104 14 T1104I,
1075 15 P1075L,
1105 15 L1105S,