KCNQ1 Variant R594Q

Summary of observed carriers, functional annotations, and structural context for KCNQ1 R594Q. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

75%

32/44 effective observations

Total carriers

34

26 LQT1 · 8 unaffected

Functional studies

1

Publications with functional data

R594Q is present in 7 alleles in gnomAD. This residue resides in a Hotspot region for LQT1.

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

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-2.41 0.999 1 0.846 72

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
34135346 2021 1 None 1 None
33777698 2021 2 None 2 None
32893267 2020 11 None 11 None
30974404 2019 2 1 1 None
30758498 2019 6 None None None
29677589 2018 None None None None
27041096 2016 4 None 4 None
26496715 2016 1 None 1 None
26481773 2015 None None None None
24218437 2013 3 None 3 None
23631430 2013 4 None None None
23153844 2012 14 None 1 None
22949429 2012 3 None 3 None
22885918 2012 1 None 1 None
21956039 2011 1 None 1 None
19841300 2009 3 None 3 None
19716085 2009 15 None 15 None
17470695 2007 11 None 11 None
16818214 2006 1 None 1 None
14678125 2003 3 None 3 None
11140949 2000 1 None 1 None
Literature, cohort, and gnomAD 34 8 26
Variant features alone 15 4 6

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 R594Q.
Neighbour residue Distance (Å) Observed variants
594 0 R594Q, R594P,
593 4 N593S,
595 4 V595L, V595L
592 5
596 5 E596del, E596K,
591 7 R591H, R591C, R591L,
597 7
590 8 A590T,
598 8 K598R,
589 8 G589D, G589S,
599 8
588 9 I588F,
600 9 T600M,
587 10 T587M, T587R,
601 10
586 11 N586D,
602 11
585 11 S585N,
603 11
584 12 G584S,
604 12
583 13 R583H, R583C, R583G,
605 13
582 13
606 13
581 14
607 14 A607T,
580 14 S580G, S580N,
608 14
579 15
609 15