KCNQ1 Variant R181C

Summary of observed carriers, functional annotations, and structural context for KCNQ1 R181C. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

31%

5/17 effective observations

Total carriers

7

0 LQT1 · 7 unaffected

Functional studies

0

Publications with functional data

R181C is present in 6 alleles in gnomAD. This residue resides in a Hotspot region for LQT1.

Variant features alone are equivalent to phenotyping 5 individuals with LQT1 and 5 unaffected individuals.

In silico predictors

Variant-level computational predictors.
PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density LQT1 (%)
-7.04 0.884 1 0.841 49

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
22949429 2012 1 1 None None
19841300 2009 1 1 None None
Literature, cohort, and gnomAD 7 7 0
Variant features alone 15 5 5

Totals may differ from individual publications due to duplicate patients removed during curation.

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 R181C.
Neighbour residue Distance (Å) Observed variants
181 0 R181C,
184 5 Y184S, Y184C, Y184D, Y184H
180 5
183 5 K183R,
182 5
178 6 A178T, A178del,
111 6 Y111C,
179 7 G179S,
177 8 S177F,
193 8 F193L, F193L, F193L,
116 9
185 9 V185L, V185L, V185M, V185del,
108 9 G108S,
189 9 G189R, G189R, G189E,
115 9 E115A, E115G,
112 9
190 10 R190W, R190Q, R190L,
244 11
192 11 R192C, R192H,
186 11 G186R, G186D,
107 11 Q107H, Q107H,
196 12
188 12 W188C, W188C, W188G, W188S,
110 12 V110I,
175 12 L175I,
174 12 R174H, R174C, R174L,
114 12
194 13 A194P, A194T,
105 13
117 14 P117L,
191 14
176 14
243 14 R243H, R243C, R243P, R243S,
109 14 R109C, R109L,
106 14
199 14 S199A,
173 14
195 15 R195Q, R195W,
104 15 T104A, T104I,
187 15 L187P, L187F,
113 15
198 15 I198V, I198T,