Description
The c.612G>C (p.Q204H) alteration is located in exon 4 (coding exon 4) of the KCNQ2 gene. This alteration results from a G to C substitution at nucleotide position 612, causing the glutamine (Q) at amino acid position 204 to be replaced by a histidine (H). This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). This alteration has been detected in the heterozygous state in a parent and a child with benign neonatal familial epilepsy (Millichap, 2016), and in an individual with neonatal focal onset seizures (Lindy, 2018). This amino acid position is highly conserved in available vertebrate species. Based on internal structural analysis, Q204H is deleterious. The variant disrupts a known structural motif necessary for protein function (Shapiro, 2000; Wuttke, 2007; Dedek, 2003; Singh, 2003; Dedek, 2001; Wang, 1998). Functional assays show reduced electrophysiology in vitro (Vanoye, 2022). Based on the available evidence, this alteration is classified as likely pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |