KCNQ1 Variant S143F Detail

We estimate the penetrance of LQTS for KCNQ1 S143F is 61%. This variant was found in a total of 1 carriers in 1 papers or gnomAD, 1 had LQTS. S143F is not present in gnomAD. S143F has not been functionally characterized. This residue is located in a Hotspot region for LQT1. In silico predictions, functional data (if available), and location in structure are equivalent to observing 5 individuals with LQT1 and 5 unaffected individuals. These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 S143F around 61% (6/11).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-5.45 1.0 1 0.855 61
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
32893267 2020 1 None 1 None
LITERATURE, COHORT, AND GNOMAD: - 1 0 1
VARIANT FEATURES ALONE: - 10 5 5 -
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.

S143F has 51 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
143 0 S143F, S143P, S143Y,
144 4 T144A,
140 5 S140G, S140R, S140R, S140R,
142 5
149 5
145 6
141 6 V141M,
152 6
148 7
153 7 T153M,
146 7 E146K, E146G, E146Q,
139 7
231 8 R231C, R231H, R231S,
156 8
150 9 A150T,
147 9 Q147R,
138 9
299 10
298 10 S298I, S298N,
151 10
227 10
155 10
136 10
154 10
137 10 L137F, L137P,
230 11
234 11 Q234H, Q234H,
300 11 A300T, A300S,
281 11 Y281C,
297 11 G297S, G297D, G297R,
226 11 A226V,
160 12 E160del, E160K, E160V,
135 12
159 12 M159del,
228 12
157 13 F157C,
229 13 G229D,
285 13
222 13
301 13
303 14 L303P,
217 14
235 14 I235N,
302 14 A302V, A302E, A302T,
278 14 Y278H,
225 14 S225L, S225del,
233 14 L233P,
223 14
134 15 L134P,
232 15
133 15 V133I,