KCNQ1 Variant R366W

Summary of observed carriers, functional annotations, and structural context for KCNQ1 R366W. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

84%

32/39 effective observations

Total carriers

29

26 LQT1 · 3 unaffected

Functional studies

1

Publications with functional data

R366W has not been reported in gnomAD. This residue resides in a Hotspot region for LQT1.

Variant features alone are equivalent to phenotyping 6 individuals with LQT1 and 4 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-7.31 1.0 3 0.921 83

PROVEAN scores below -2 suggest deleterious impact. REVEL scores above 0.5–0.75 are often interpreted as likely pathogenic. PolyPhen-2 scores above 0.85 are typically pathogenic. BLAST-PSSM reflects evolutionary conservation; more negative values indicate rarer substitutions. Penetrance density summarises neighbouring residue risk (Kroncke et al. 2019).

Reported carrier data

Observed carriers by publication or cohort.
Source Year Carriers Unaffected LQT1 Other Disease
34135346 2021 1 1 None None
33614747 2021 1 None 1 None
32893267 2020 17 None 17 None
31520628 2019 1 None 1 1 stillbirth
30758498 2019 13 None 3 None
30508507 2019 1 1 None Cardiac malformations, ID
29622001 2018 1 None 1 None
26496715 2016 3 None 3 None
24667783 2015 1 None 1 None
24363352 2014 1 None None None
23631430 2013 4 None None None
22949429 2012 2 None 2 None
19841300 2009 2 None 2 None
19716085 2009 8 None 8 None
19490272 2009 15 None 15 None
17192539 2006 2 None 2 None
15851171 2004 2 1 1 None
14678125 2003 1 None 1 None
Literature, cohort, and gnomAD 29 3 26
Variant features alone 15 4 6

Totals may differ from individual publications due to duplicate patients removed during curation.

Functional data

Functional assay results from published electrophysiology studies. HM indicates homomeric channels, HT indicates heteromeric channels.

Homomeric channel data

Published electrophysiology measurements (homomeric).
PubMed ID Year Study Type Assay Temperature Cell Type Result

Heteromeric channel data

Published electrophysiology measurements (heteromeric).
PubMed ID Year Study Type Assay Temperature Cell Type Result

Nearby variants

Neighbouring residues within 15 Ångström provide structural context. Variants listed in the right-most column have been observed clinically or in gnomAD.

Previously observed variants near R366W.
Neighbour residue Distance (Å) Observed variants
363 5 H363N,
365 6 N365H,
364 8 F364L, F364L, F364L, F364S,
366 8 R366W, R366Q,
368 9
369 9
362 11 K362R, K362del,
532 12
531 12
371 12 A371T,
540 12
534 13
535 14
543 14 E543K,
528 14
372 14
544 14 Q544E
361 14
373 15 S373P,
527 15
530 15
533 15 R533W, R533Q,