KCNQ1 Variant R190L

Summary of observed carriers, functional annotations, and structural context for KCNQ1 R190L. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

46%

6/14 effective observations

Total carriers

4

1 LQT1 · 3 unaffected

Functional studies

0

Publications with functional data

R190L is present in 1 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 (%)
-6.45 1.0 -1 0.953 57

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
20138589 2010 2 2 None None
19716085 2009 1 None 1 None
17192539 2006 1 None 1 None
Literature, cohort, and gnomAD 4 3 1
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 R190L.
Neighbour residue Distance (Å) Observed variants
190 0 R190W, R190Q, R190L,
186 5 G186R, G186D,
189 5 G189R, G189R, G189E,
175 5 L175I,
178 5 A178T, A178del,
187 6 L187P, L187F,
193 6 F193L, F193L, F193L,
191 7
185 7 V185L, V185L, V185M, V185del,
184 7 Y184S, Y184C, Y184D, Y184H
179 7 G179S,
188 8 W188C, W188C, W188G, W188S,
177 8 S177F,
176 8
194 8 A194P, A194T,
192 9 R192C, R192H,
172 10 V172M, V172E,
180 10
181 10 R181C,
183 10 K183R,
171 10
173 11
182 11
174 11 R174H, R174C, R174L,
195 11 R195Q, R195W,
111 11 Y111C,
107 11 Q107H, Q107H,
199 12 S199A,
196 12
115 13 E115A, E115G,
110 13 V110I,
108 13 G108S,
114 14
203 14 L203P,
200 14
170 15
168 15 G168R, G168R, G168R, G168R,
202 15 D202N, D202H,