ClinVar Genomic variation as it relates to human health
NM_000219.6(KCNE1):c.23C>T (p.Ala8Val)
The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.
Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_000219.6(KCNE1):c.23C>T (p.Ala8Val)
Variation ID: 132670 Accession: VCV000132670.17
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: 21q22.12 21: 34449612 (GRCh38) [ NCBI UCSC ] 21: 35821910 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.
Last submission Help The date of the most recent submission for each type of classification for this variant.
Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline Dec 6, 2014 Nov 10, 2024 Jan 16, 2024 - HGVS
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Nucleotide Protein Molecular
consequenceNM_000219.6:c.23C>T MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.
NP_000210.2:p.Ala8Val missense NM_001127668.4:c.23C>T NP_001121140.1:p.Ala8Val missense NM_001127669.4:c.23C>T NP_001121141.1:p.Ala8Val missense NM_001127670.4:c.23C>T NP_001121142.1:p.Ala8Val missense NM_001270402.3:c.23C>T NP_001257331.1:p.Ala8Val missense NM_001270403.2:c.23C>T NP_001257332.1:p.Ala8Val missense NM_001270404.3:c.23C>T NP_001257333.1:p.Ala8Val missense NM_001270405.3:c.23C>T NP_001257334.1:p.Ala8Val missense NC_000021.9:g.34449612G>A NC_000021.8:g.35821910G>A NG_009091.1:g.66704C>T LRG_290:g.66704C>T LRG_290t1:c.23C>T P15382:p.Ala8Val - Protein change
- A8V
- Other names
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NM_000219.5(KCNE1):c.23C>T(p.Ala8Val)
NM_001127668.3(KCNE1):c.23C>T(p.Ala8Val)
NM_001127669.3(KCNE1):c.23C>T(p.Ala8Val)
NM_001127670.3(KCNE1):c.23C>T(p.Ala8Val)
NM_001270402.2(KCNE1):c.23C>T(p.Ala8Val)
NM_001270403.2(KCNE1):c.23C>T(p.Ala8Val)
NM_001270404.2(KCNE1):c.23C>T(p.Ala8Val)
NM_001270405.2(KCNE1):c.23C>T(p.Ala8Val)
- Canonical SPDI
- NC_000021.9:34449611:G:A
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Functional
consequence HelpThe effect of the variant on RNA or protein function, based on experimental evidence from submitters.
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Effect on ion channel function; Functional Epilepsy Nomenclature for Ion Channels [ FENICS-0001]This variant was studied in a multiplexed assay of variant effect (PMID 38816749). This variant had a mean functional score of 0.778 (0.703-0.852 confidence interval). This score is on a scale where the median nonsense variant had a score of 0 and the median synonymous variant had a score of 1. This score was determined to be "normal function". Calibration with control variants resulted in a recommended application of PS3 or BS3 at a maximum of moderate level for this assay. [submitted by Roden Lab, Vanderbilt University Medical Center]
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Global minor allele
frequency (GMAF) HelpThe global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.
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Allele frequency
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The frequency of the allele represented by this VCV record.
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NHLBI Exome Sequencing Project (ESP) Exome Variant Server 0.00008
The Genome Aggregation Database (gnomAD) 0.00011
- Links
Genes
Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
Help
Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
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The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
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The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
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The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene. |
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KCNE1 | - | - |
GRCh38 GRCh37 |
1261 | 1339 |
Conditions - Germline
Condition
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The condition for this variant-condition (RCV) record in ClinVar. |
Classification
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The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions) |
Review status
Help
The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. |
Last evaluated
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The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
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The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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not provided (1) |
no classification provided
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- | RCV000119082.2 | |
Uncertain significance (2) |
criteria provided, multiple submitters, no conflicts
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Jan 16, 2024 | RCV000148516.8 | |
Uncertain significance (1) |
criteria provided, single submitter
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Mar 17, 2021 | RCV000618807.4 | |
Uncertain significance (2) |
criteria provided, multiple submitters, no conflicts
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Jan 13, 2020 | RCV000455223.5 | |
Uncertain significance (2) |
criteria provided, single submitter
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May 31, 2018 | RCV000677314.2 | |
Uncertain significance (1) |
criteria provided, single submitter
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Nov 15, 2021 | RCV002477300.1 |
Submissions - Germline
Classification
Help
The submitted germline classification for each SCV record. (Last evaluated) |
Review status
Help
Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria) |
Condition
Help
The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Uncertain significance
(Aug 09, 2018)
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criteria provided, single submitter
Method: clinical testing
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not specified
Affected status: not provided
Allele origin:
germline
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Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Accession: SCV000539419.1
First in ClinVar: Apr 09, 2017 Last updated: Apr 09, 2017 |
Comment:
The p.Ala8Val variant in KCNE1 has been reported in the heterozygous state in on e individual with paroxysmal atrial fibrillation and sick sinus syndrome and … (more)
The p.Ala8Val variant in KCNE1 has been reported in the heterozygous state in on e individual with paroxysmal atrial fibrillation and sick sinus syndrome and one individual with Long QT syndrome (Ohno 2007, Sale 2008, Kapplinger 2009). This variant has been identified in 11/18860 East Asian chromosomes by the Genome Agg regation Database (gnomAD, http://gnomad.broadinstitute.org/) and is reported in ClinVar (Variation ID: 132670). In vitro functional studies provide some eviden ce that the p.Ala8Val variant may impact protein function (Ohno 2007, Sale 2008, Du 2013). However, these types of assays may not accurately represent biologica l function. Alanine (Ala) at position 8 is not conserved in mammals or evolution arily distant species and 4 mammals carry a Valine (Val) at this position, raisi ng the possibility that this change may be tolerated. Additional computational p rediction tools suggest that the p.Ala8Val variant may not impact the protein, t hough this information is not predictive enough to rule out pathogenicity. In su mmary, the clinical significance of the p.Ala8Val variant is uncertain. ACMG/AMP Criteria applied: PS3_Supporting, PS4_Supporting, BP4_Strong. (less)
Number of individuals with the variant: 1
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Uncertain significance
(Nov 15, 2021)
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criteria provided, single submitter
Method: clinical testing
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Jervell and Lange-Nielsen syndrome 2
Long QT syndrome 5
Affected status: unknown
Allele origin:
unknown
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Fulgent Genetics, Fulgent Genetics
Accession: SCV002780855.1
First in ClinVar: Dec 31, 2022 Last updated: Dec 31, 2022 |
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Uncertain significance
(Jan 16, 2024)
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criteria provided, single submitter
Method: clinical testing
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Long QT syndrome
Affected status: unknown
Allele origin:
germline
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Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV000549149.6
First in ClinVar: Dec 06, 2014 Last updated: Feb 14, 2024 |
Comment:
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 8 of the KCNE1 protein (p.Ala8Val). … (more)
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 8 of the KCNE1 protein (p.Ala8Val). This variant is present in population databases (rs199473348, gnomAD 0.06%). This missense change has been observed in individual(s) with long QT syndrome or clinical suspicion of long QT syndrome (PMID: 17341399, 19716085, 31521807, 31535183, 34403091). ClinVar contains an entry for this variant (Variation ID: 132670). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt KCNE1 protein function with a negative predictive value of 95%. Experimental studies have shown that this missense change affects KCNE1 function (PMID: 17341399, 18776039, 24400172). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. (less)
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Uncertain significance
(Mar 17, 2021)
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criteria provided, single submitter
Method: clinical testing
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Cardiovascular phenotype
Affected status: unknown
Allele origin:
germline
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Ambry Genetics
Accession: SCV000736362.6
First in ClinVar: Apr 14, 2018 Last updated: May 01, 2024 |
Comment:
The c.23C>T (p.A8V) alteration is located in exon 3 (coding exon 1) of the KCNE1 gene. This alteration results from a C to T substitution … (more)
The c.23C>T (p.A8V) alteration is located in exon 3 (coding exon 1) of the KCNE1 gene. This alteration results from a C to T substitution at nucleotide position 23, causing the alanine (A) at amino acid position 8 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. (less)
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Uncertain significance
(Jun 01, 2014)
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criteria provided, single submitter
Method: research
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Long QT syndrome
(Autosomal dominant inheritance)
Affected status: unknown
Allele origin:
germline
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CSER _CC_NCGL, University of Washington
Study: ESP 6500 variant annotation
Accession: SCV000190228.2 First in ClinVar: Dec 06, 2014 Last updated: Dec 06, 2014
Comment:
Variants classified for the Actionable exomic incidental findings in 6503 participants: challenges of variant classification manuscript
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Comment:
Low GERP score may suggest that this variant may belong in a lower pathogenicity class
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Uncertain significance
(Jan 13, 2020)
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criteria provided, single submitter
Method: clinical testing
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not specified
Affected status: unknown
Allele origin:
germline
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Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Accession: SCV001337808.1
First in ClinVar: Jun 18, 2020 Last updated: Jun 18, 2020 |
Comment:
Variant summary: KCNE1 c.23C>T (p.Ala8Val) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign … (more)
Variant summary: KCNE1 c.23C>T (p.Ala8Val) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.00011 in 251512 control chromosomes. The observed variant frequency is approximately 10.7- fold the estimated maximal expected allele frequency for a pathogenic variant in KCNE1 causing Arrhythmia phenotype (1e-05), suggesting that the variant is benign. However, c.23C>T has been reported in the literature in multiple individuals affected with arrhythmia (e.g. Ohno_2007, Sale_2008, Kapplinger_2009, Fedida_2017, Bennett_2019, Li_2019), including three individuals from one family in which the variant segregated with a Long QT Syndrome (LQTS) phenotype (Li_2019). These data indicate that the variant may be associated with disease. At least three publications report experimental evidence evaluating the electrophysiological effects of the variant on potassium channels and suggest that the variant may alter channel kinetics, however the biological consequences fo these findings are not clear (e.g. Ohno_2007, Sale, 2008, Du_2013). Four other ClinVar submitters (evaluation after 2014) have cited the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. (less)
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Uncertain significance
(May 31, 2018)
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criteria provided, single submitter
Method: curation
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Long QT syndrome 5
Affected status: unknown
Allele origin:
unknown
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SIB Swiss Institute of Bioinformatics
Accession: SCV000803462.1
First in ClinVar: Aug 20, 2018 Last updated: Aug 20, 2018 |
Comment:
This variant is interpreted as a Uncertain Significance - Conflicting Evidence, for Long QT syndrome 5, in Autosomal Dominant manner. The following ACMG Tag(s) were … (more)
This variant is interpreted as a Uncertain Significance - Conflicting Evidence, for Long QT syndrome 5, in Autosomal Dominant manner. The following ACMG Tag(s) were applied: BS1 => Allele frequency is greater than expected for disorder. PS3-Moderate => PS3 downgraded in strength to Moderate (PMID:18776039). (less)
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not provided
(-)
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no classification provided
Method: literature only
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Congenital long QT syndrome
Affected status: unknown
Allele origin:
germline
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Cardiovascular Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust
Accession: SCV000153801.2
First in ClinVar: Jun 03, 2014 Last updated: Oct 09, 2016 |
Comment:
This variant has been reported as associated with Long QT syndrome in the following publications (PMID:17341399;PMID:19716085). This is a literature report, and does not necessarily … (more)
This variant has been reported as associated with Long QT syndrome in the following publications (PMID:17341399;PMID:19716085). This is a literature report, and does not necessarily reflect the clinical interpretation of the Imperial College / Royal Brompton Cardiovascular Genetics laboratory. (less)
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not provided
(-)
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no classification provided
Method: in vitro
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Long QT syndrome 5
Affected status: not applicable
Allele origin:
not applicable
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Roden Lab, Vanderbilt University Medical Center
Accession: SCV005393484.1
First in ClinVar: Nov 10, 2024 Last updated: Nov 10, 2024 |
Comment on evidence:
Functional evidence assertions were derived from functional fitness scores.
Method: Functional assay results from a multiplexed deep mutational scan of KCNE1, measuring cell fitness with Illumina sequencing (a proxy for potassium channel function). Variant outcomes derived from functional score categorization using predefined thresholds and OddsPath assay to determine strength of functional evidence for ACMG/AMP functional assay criteria.
Result:
0.778 - determined to be "normal function"
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Germline Functional Evidence
Functional
Help
The functional consequence of the variant, based on experimental evidence and provided by the submitter. consequence |
Method
Help
A brief description of the method used to determine the functional consequence of the variant. A citation for the method is included, when provided by the submitter. |
Result
Help
A brief description of the result of this method for this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting functional evidence for the germline classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Effect on ion channel function
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Method citation(s):
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Roden Lab, Vanderbilt University Medical Center
Accession: SCV005393484.1
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Comment:
This variant was studied in a multiplexed assay of variant effect (PMID 38816749). This variant had a mean functional score of 0.778 (0.703-0.852 confidence interval). … (more)
This variant was studied in a multiplexed assay of variant effect (PMID 38816749). This variant had a mean functional score of 0.778 (0.703-0.852 confidence interval). This score is on a scale where the median nonsense variant had a score of 0 and the median synonymous variant had a score of 1. This score was determined to be "normal function". Calibration with control variants resulted in a recommended application of PS3 or BS3 at a maximum of moderate level for this assay. (less)
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Citations for germline classification of this variant
HelpTitle | Author | Journal | Year | Link |
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Genetic Susceptibility Study of Chinese Sudden Sensorineural Hearing Loss Patients with Vertigo. | Gao Y | Current medical science | 2021 | PMID: 34403091 |
Genetic arrhythmias complicating patients with dilated cardiomyopathy. | Li Z | Heart rhythm | 2020 | PMID: 31521807 |
Reclassification of Variants of Uncertain Significance in Children with Inherited Arrhythmia Syndromes is Predicted by Clinical Factors. | Bennett JS | Pediatric cardiology | 2019 | PMID: 31535183 |
Mutational and phenotypic spectra of KCNE1 deficiency in Jervell and Lange-Nielsen Syndrome and Romano-Ward Syndrome. | Faridi R | Human mutation | 2019 | PMID: 30461122 |
Long QT Syndrome and Sinus Bradycardia-A Mini Review. | Wilders R | Frontiers in cardiovascular medicine | 2018 | PMID: 30123799 |
Re-evaluating pathogenicity of variants associated with the long QT syndrome. | Kaltman JR | Journal of cardiovascular electrophysiology | 2018 | PMID: 28988457 |
Contribution of exome sequencing for genetic diagnostic in arrhythmogenic right ventricular cardiomyopathy/dysplasia. | Fedida J | PloS one | 2017 | PMID: 28767663 |
Drug-induced Inhibition and Trafficking Disruption of ion Channels: Pathogenesis of QT Abnormalities and Drug-induced Fatal Arrhythmias. | Cubeddu LX | Current cardiology reviews | 2016 | PMID: 26926294 |
The genetics underlying acquired long QT syndrome: impact for genetic screening. | Itoh H | European heart journal | 2016 | PMID: 26715165 |
KCNE1 and KCNE3: The yin and yang of voltage-gated K(+) channel regulation. | Abbott GW | Gene | 2016 | PMID: 26410412 |
Testing the burden of rare variation in arrhythmia-susceptibility genes provides new insights into molecular diagnosis for Brugada syndrome. | Le Scouarnec S | Human molecular genetics | 2015 | PMID: 25650408 |
Modification by KCNE1 variants of the hERG potassium channel response to premature stimulation and to pharmacological inhibition. | Du C | Physiological reports | 2013 | PMID: 24400172 |
Long QT syndrome with compound mutations is associated with a more severe phenotype: a Japanese multicenter study. | Itoh H | Heart rhythm | 2010 | PMID: 20541041 |
The genetic basis of long QT and short QT syndromes: a mutation update. | Hedley PL | Human mutation | 2009 | PMID: 19862833 |
Spectrum and prevalence of mutations from the first 2,500 consecutive unrelated patients referred for the FAMILION long QT syndrome genetic test. | Kapplinger JD | Heart rhythm | 2009 | PMID: 19716085 |
D85N, a KCNE1 polymorphism, is a disease-causing gene variant in long QT syndrome. | Nishio Y | Journal of the American College of Cardiology | 2009 | PMID: 19695459 |
Physiological properties of hERG 1a/1b heteromeric currents and a hERG 1b-specific mutation associated with Long-QT syndrome. | Sale H | Circulation research | 2008 | PMID: 18776039 |
N- and C-terminal KCNE1 mutations cause distinct phenotypes of long QT syndrome. | Ohno S | Heart rhythm | 2007 | PMID: 17341399 |
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Text-mined citations for rs199473348 ...
HelpRecord last updated Nov 10, 2024
This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the “most recent submission” reported at the top of this page.