KCNQ1 Variant M520R

Summary of observed carriers, functional annotations, and structural context for KCNQ1 M520R. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

82%

11/14 effective observations

Total carriers

4

4 LQT1 · 0 unaffected

Functional studies

1

Publications with functional data

M520R has not been reported in gnomAD. This residue resides in a Hotspot region for LQT1.

Variant features alone are equivalent to phenotyping 7 individuals with LQT1 and 3 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-4.4 0.907 -2 0.959 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
32893267 2020 1 None 1 None
22949429 2012 1 None 1 None
19841300 2009 1 None 1 None
19716085 2009 3 None 3 None
17482572 2007 5 None 1 None
17470695 2007 3 None 3 None
17192539 2006 1 None 1 None
Literature, cohort, and gnomAD 4 0 4
Variant features alone 15 3 7

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 M520R.
Neighbour residue Distance (Å) Observed variants
520 0 M520R,
517 5 I517T,
516 5
521 6
523 6
519 6 R519H, R519C,
524 8 V524G,
518 9 R518Q, R518G,
522 9 Y522S,
515 10
513 10 T513A, T513S, T513S
514 10 I514T,
525 10 A525T, A525V,
377 10
381 11 C381Y,
380 11 R380S, R380S, R380G,
512 11
526 12 K526Q, K526E,
527 12
528 13
378 13 A378T,
373 13 S373P,
374 13 L374H, L374F,
384 14
376 15