KCNQ1 Variant Q260E Detail

We estimate the penetrance of LQTS for KCNQ1 Q260E is 47%. We are unaware of any observations of this variant in individuals. Q260E is not present in gnomAD. Q260E 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 4 individuals with LQT1 and 6 unaffected individuals. These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 Q260E around 47% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-2.92 0.778 -1 0.805 52
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
LITERATURE, COHORT, AND GNOMAD: - 0 0 0
VARIANT FEATURES ALONE: - 10 6 4 -
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.

Q260E has 28 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
260 0
259 5 R259C, R259H, R259L, R259G,
263 7
264 7
247 9 T247I,
246 10
261 11 E261K, E261D, E261D, E261G, E261Q,
258 12 H258P, H258N, H258R, H258Y,
266 12 L266P,
257 12 I257V,
254 12 V254M, V254L, V254L,
255 13
267 13 Y267C,
256 13
245 13 G245V,
262 13 L262P, L262R, L262V,
351 13 F351L, F351L, F351L, F351S,
253 13 S253A, S253P,
350 13 G350V, G350R, G350R, G350W,
347 13 L347P, L347R,
242 14 D242N, D242Y,
252 14 G252R,
250 14 L250H, L250P,
354 14
248 14 W248C, W248C, W248R, W248R,
361 14
251 14 L251P, L251Q,
265 15 T265I,