We estimate the penetrance of LQTS for KCNH2 F129C is 80%. This variant was found in a total of 2 carriers in 1 papers or gnomAD, 2 had LQTS. F129C is not present in gnomAD. F129C has not been functionally characterized. This residue is located in a Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 7 individuals with LQT2 and 3 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 F129C around 80% (9/12).

PROVEAN	PolyPhen-2	BLAST-PSSM	REVEL	Penetrance Density (%)
-5.649	0.998	-5	0.951	72

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).

PubMed ID	Year	Carriers	Unaffected	LQT2	Other Disease
France Cohort	2020	2	0	2
LITERATURE, COHORT, AND GNOMAD:	-	2	0	2	-
VARIANT FEATURES ALONE:	-	10	3	7	-

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.

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 K_V11.1 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
129	0	F129C,
128	4	N128S,
28	5	K28E,
110	6	V110A,
127	6
108	6	C108Y,
130	6	E130K,
109	7	L109P, L109Q, L109X,
48	7
111	7	D111V,
29	7	F29L, F29V, F29L, F29S, F29L,
30	7	I30T, I30Del,
51	8
27	8	R27X, R27P,
98	9
131	9	V131L, V131L, V131fsX,
47	9	G47V, G47C,
112	9	V112M,
126	10
106	10	F106L, F106L, F106L, F106V,
45	10	N45K, N45K, N45D,
96	10	I96V, I96T,
94	10	V94L, V94L, V94A,
52	10	C52W,
69	11	L69Del, L69P,
93	11	K93R, K93X,
107	11	L107P,
66	11	C66R, C66G, C66Y,
22	11	F22S, F22Y,
95	11	E95K, E95G,
113	11	V113Del,
49	11	C49R, C49G,
97	11
26	12	S26I,
31	12	I31S,
64	12	C64R, C64Y,
82	12	I82Ins, I82Del, I82dup, I82T,
44	12	C44F, C44X, C44W,
50	12	E50X,
100	12	R100G, R100P, R100Q,
65	12	T65P,
25	12	Q25P,
43	13	Y43D, Y43C,
125	13
59	13
46	13	D46Y, D46E, D46E,
68	13	F68V, F68L, F68L, F68L,
70	13	H70Q, H70Q, H70R,
41	13	V41A,
32	13	A32T,
53	14	G53R, G53S,
91	14
54	14	Y54X, Y54N,
105	14
99	14	Y99S, Y99N,
114	14	P114S,
23	14
92	14	R92C, R92L,
19	14	I19F,
79	14	A79Del, A79S, A79fsX, A79T,
85	15	A85P, A85V,
78	15	A78T, A78P,
86	15	L86R,
18	15	I18M,