KCNQ1 Variant G589D

Summary of observed carriers, functional annotations, and structural context for KCNQ1 G589D. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

25%

12/50 effective observations

Total carriers

40

8 LQT1 · 32 unaffected

Functional studies

2

Publications with functional data

G589D is present in 14 alleles in gnomAD. This residue resides in a Mild_Hotspot region for LQT1.

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

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-4.04 0.996 -2 0.863 38

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 2 None 2 None
31520628 2019 3 None 3 5 misscarriage + 1 stillbirth
29622001 2018 6 3 3 None
29197658 2018 2 None 2 None
26063740 2015 164 121 43 None
25344363 2014 None None None None
22095730 2012 None None None None
21138517 2011 9 9 None None
20566482 2010 15 15 None None
19716085 2009 1 None 1 None
19160088 2009 8 None None None
17467628 2007 2 None 2 one pt on long term sotalol
17192539 2006 50 None 50 None
17038145 2006 9 9 0 None
16882680 2006 7 7 0 None
15528464 2004 None None None None
Literature, cohort, and gnomAD 40 32 8
Variant features alone 15 6 4

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 G589D.
Neighbour residue Distance (Å) Observed variants
589 0 G589D, G589S,
588 4 I588F,
590 4 A590T,
587 5 T587M, T587R,
591 5 R591H, R591C, R591L,
586 7 N586D,
592 7
585 8 S585N,
593 8 N593S,
584 8 G584S,
594 8 R594Q, R594P,
583 9 R583H, R583C, R583G,
595 9 V595L, V595L
582 10
596 10 E596del, E596K,
581 11
597 11
580 11 S580G, S580N,
598 11 K598R,
579 12
599 12
578 13 E578K, E578V,
600 13 T600M,
577 13
601 13
576 14 V576I,
602 14
575 14
603 14
574 15 I574V,
604 15