KCNQ1 Variant D446N

Summary of observed carriers, functional annotations, and structural context for KCNQ1 D446N. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

8%

1/19 effective observations

Total carriers

9

0 LQT1 · 9 unaffected

Functional studies

0

Publications with functional data

D446N is present in 9 alleles in gnomAD. This residue resides in a Non_Hotspot region for LQT1.

Variant features alone are equivalent to phenotyping 1 individuals with LQT1 and 9 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-1.58 0.995 1 0.397 5

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
Literature, cohort, and gnomAD 9 9 0
Variant features alone 15 9 1

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

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 D446N.
Neighbour residue Distance (Å) Observed variants
446 0 D446E, D446E, D446E, D446E, D446N,
445 4
447 4 P447H,
444 5 T444M, T444K
448 5 P448R, P448Q, P448L, P448S,
443 7
449 7 E449K,
442 8 H442R,
450 8 E450K,
441 8 P441S,
451 8 R451Q, R451W,
440 9
452 9 R452Q, R452W, R452L,
439 10
453 10
438 11
454 11
437 11 M437V,
455 11 H455Y, H455Q, H455Q, H455R,
436 12
456 12 F456L, F456L, F456L,
435 13
457 13
434 13 G434R, G434R,
458 13
433 14 P433A,
459 14 D459N, D459V,
432 14 T432I, T432A,
460 14 G460S, G460D, G460C,
431 15 V431L, V431L,
461 15