KCNQ1 Variant K393N

Summary of observed carriers, functional annotations, and structural context for KCNQ1 K393N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

5%

16/313 effective observations

Total carriers

303

11 LQT1 · 292 unaffected

Functional studies

1

Publications with functional data

K393N is present in 290 alleles in gnomAD. This residue resides in a Hotspot region for LQT1.

Variant features alone are equivalent to phenotyping 5 individuals with LQT1 and 5 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-2.25 0.77 -1 0.554 51

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
33552729 2021 1 1 0 DCM
32470535 2020 1 None 1 None
30816480 2019 1 None None Large vessel ischemic stroke
29197658 2018 8 None 8 None
23571586 2013 1 1 None None
22949429 2012 3 3 None None
19841300 2009 3 3 None None
17470695 2007 10 None 10 None
14678125 2003 2 None 2 None
Literature, cohort, and gnomAD 303 292 11
Variant features alone 15 5 5

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 K393N.
Neighbour residue Distance (Å) Observed variants
393 0 K393N,
394 5 I394L,
390 6
391 7 T391A, T391I,
392 8 W392R, W392R, W392ins
389 9 S389P,
388 12 D388H, D388N,
380 12 R380S, R380S, R380G,
387 12 P387T,
514 12 I514T,
383 12
518 12 R518Q, R518G,
511 12 R511Q, R511W,
386 13 N386K, N386K,
510 13 H510R, H510Y,
384 13
379 13 W379R, W379R, W379C, W379C, W379G,