KCNQ1 Variant R507Q Detail

We estimate the penetrance of LQTS for KCNQ1 R507Q is 5%. This variant was found in a total of 12 carriers in 0 papers or gnomAD, 0 had LQTS. R507Q is present in 12 alleles in gnomAD. R507Q has not been functionally characterized. This residue is located in a Non_Hotspot region for LQT1. In silico predictions, functional data (if available), and location in structure are equivalent to observing 1 individuals with LQT1 and 9 unaffected individuals. These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 R507Q around 5% (1/22).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-0.72 0.269 0 0.684 2
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 LQT1 Other Disease
LITERATURE, COHORT, AND GNOMAD: - 12 12 0
VARIANT FEATURES ALONE: - 10 9 1 -
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.

R507Q 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. This results from the fact that the functional KV7.1 channel 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
507 0 R507Q, R507W,
506 4
508 4 E508G,
505 5 Q505R,
509 5 H509Q, H509Q, H509R,
504 7
510 7 H510R, H510Y,
503 8
511 8 R511Q, R511W,
502 8
512 8
501 9 T501A,
513 9 T513A, T513S, T513S,
500 10 I500L, I500V,
514 10 I514T,
499 11 P499S,
515 11
498 11
516 11
497 12 L497P,
517 12 I517T,
496 13
518 13 R518Q, R518G,
495 13 T495S, T495S, T495A,
519 13 R519H, R519C,
494 14
520 14 M520R,
493 14 G493A,
521 14
492 15 L492ins,
522 15 Y522S,