KCNH2 Variant G1131S Detail

We estimate the penetrance of LQTS for KCNH2 G1131S is 8%. We are unaware of any observations of this variant in individuals. G1131S is not present in gnomAD. G1131S 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 G1131S around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-1.086 0.978 1 0.494 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.

G1131S 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
1131 0 G1131V,
1130 4
1132 4 P1132A,
1129 5
1133 5
1128 7
1134 7 R1134X,
1127 8
1135 8 R1135H, R1135C,
1126 8 E1126fsX,
1136 8 L1136I,
1125 9 P1125X, P1125A,
1137 9
1124 10
1138 10
1123 11 G1123R, G1123R,
1139 11 P1139L,
1122 11 P1122R, P1122fsX, P1122L,
1140 11
1121 12
1141 12
1120 13
1142 13
1119 13 E1119V, E1119Q,
1143 13
1118 14
1144 14 A1144T,
1117 14 C1117fsX,
1145 14
1116 15 A1116V,
1146 15 T1146S, T1146A, T1146I, T1146S,