KCNH2 Variant L1094P Detail

We estimate the penetrance of LQTS for KCNH2 L1094P is 8%. We are unaware of any observations of this variant in individuals. L1094P is not present in gnomAD. L1094P 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 L1094P around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-1.231 0.0 -3 0.594 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: - 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.

L1094P 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
1094 0 L1094M,
1093 4 P1093L, P1093R,
1095 4
1092 5 S1092F,
1096 5
1091 7
1097 7 V1097I,
1090 8 S1090F,
1098 8 S1098R, S1098R, S1098R,
1089 8 T1089A, T1089I,
1099 8 P1099L,
1088 9
1100 9
1087 10 G1087X,
1101 10 P1101fsX,
1086 11 P1086fsX, P1086X,
1102 11
1085 11 G1085X,
1103 11 L1103P,
1084 12 P1084X, P1084R, P1084L,
1104 12 T1104I,
1083 13 T1083A, T1083fsX,
1105 13 L1105S,
1082 13
1106 13
1081 14
1107 14 S1107L,
1080 14
1108 14 L1108V,
1079 15 S1079N,
1109 15