KCNH2 Variant I330V Detail

We estimate the penetrance of LQTS for KCNH2 I330V is 6%. This variant was found in a total of 1 carriers in 0 papers or gnomAD, 0 had LQTS. I330V is present in 1 alleles in gnomAD. I330V 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 I330V around 6% (0/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-0.519 0.093 2 0.505 3
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.

I330V 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
330 0 I330V,
329 4
331 4 S331N, S331T,
328 5 R328C, R328H, R328fsX,
332 5
327 7 Y327H,
333 7
326 8 R326H, R326fsX, R326C,
334 8 P334L,
325 8 V325M,
335 8 Q335X,
324 9 L324L,
336 9
323 10 D323E, D323N, D323E,
337 10 T337X, T337S, T337S,
322 11
338 11
321 11 D321Y,
339 11
320 12 S320X, S320L, S320W,
340 12 F340L, F340L, F340L,
319 13 T319T,
341 13
318 13
342 13 D342X, D342A, D342V,
317 14 N317S,
343 14 L343fsX,
316 14
344 14
315 15
345 15 G345S,