KCNQ1 Variant R293H

Summary of observed carriers, functional annotations, and structural context for KCNQ1 R293H. Data combine curated literature, international cohorts, and gnomAD observations.

Estimated LQT1 penetrance

38%

5/15 effective observations

Total carriers

5

0 LQT1 · 5 unaffected

Functional studies

0

Publications with functional data

R293H is present in 4 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 (%)
-2.31 0.834 3 0.524 56

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 5 5 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 R293H.
Neighbour residue Distance (Å) Observed variants
298 11 S298I, S298N
321 12
288 12
319 13 V319L, V319L,
290 13 E290K,
294 13 V294M,
302 13 A302V, A302E, A302T,
300 14 A300T, A300S,
291 14
287 14 A287E, A287T, A287S,
320 14 P320H, P320A, P320S,
289 14