Supplemental Table 1. KCNQ1 variants by location, type of variant, functional effect and parental transmission Location Variant type Function Total families Total Mater Pater Patient carriers transm transm LOVD ID Amino acid change Nucleotide change p.(Pro74Serfs*210) p.(Val100Cysfs*137) c.220_221delCC c.298delG N-terminus N-terminus frameshift frameshift haploinsufficiency haploinsufficiency 1 1 3 3 0 1 2 1 p.(Tyr111Cys) c.332A>G N-terminus missense dominant negative (1) 3 9 6 0 p.(Asn112dup) c.334_336dup N-terminus in-frame insertion unknown 1 2 0 1 49186 p.(Pro117Leu) c.350C>T N-terminus missense 1 3 0 2 49187 p.(Gly119Arg) p.(His126Asp) p.0? ? p.(Tyr148*) p.0? c.355G>C c.376C>G c.386+5G>A c.444T>A c.477+1G>A N-terminus S1-S4 S1-S4 S1-S4 S1-S4 missense missense splice site nonsense splice site non-dominant negative (1) unknown unknown haploinsufficiency haploinsufficiency haploinsufficiency 1 1 1 1 1 3 2 3 5 3 2 1 2 4 1 0 0 0 0 1 p.0? c.477+5G>A S1-S4 splice site haploinsufficiency 2 6 3 1 p.0? c.478-2A>T S1-S4 splice site haploinsufficiency 1 6 0 4 p.(Gly168Arg) c.502G>A S1-S4 missense dominant negative (2)(3) 3 11 7 0 p.(Glu170Gly) p.(Tyr171Asn) c.509A>G c.511T>A S1-S4 S1-S4, C-loop missense missense unknown unknown 1 1 2 2 1 1 0 0 p.(Arg174Cys) c.520C>T S1-S4, C-loop missense dominant negative (4) 6 33 14 11 p.(Arg174His) c.521G>A S1-S4, C-loop missense unknown 5 19 9 4 49188 49189 49190 49191 49192 49193 49194 49195 49196 49197 49198 49199 49200 49201 49202 49203 49204 49205 49206 49207 49208 49209 49210 49181 49182 49183 49184 49185 49211 49212 49213 49214 49215 49216 49217 49218 49219 p.(Gly179Serfs*62) c.524_534dupTCTGGTCCGCC S1-S4, C-loop frameshift haploinsufficiency 2 8 2 3 p.(Ala178Thr) p.(Gly179Ser) p.(Lys183Arg) c.532G>A c.535G>A c.548A>G S1-S4, C-loop S1-S4, C-loop S1-S4, C-loop missense missense missense unknown unknown unknown 1 1 1 7 2 2 0 1 0 5 0 1 p.(Tyr184Ser) c.551A>C S1-S4, C-loop missense dominant negative (2) 3 24 11 9 p.(Gly186_Leu187del) c.556_561delGGCCTC S1-S4, C-loop unknown 1 5 2 1 49220 p.(Gly186Asp) c.557G>A S1-S4, C-loop in-frame deletion missense unknown 1 2 1 0 p.(Gly189Glu) c.566G>A S1-S4, C-loop missense unknown 3 16 11 1 p.(Arg190Trp) c.568C>T S1-S4, C-loop missense unknown 3 8 2 2 p.(Arg190Leu) c.569G>T S1-S4, C-loop missense unknown 1 6 2 2 p.(Arg190Gln) c.569G>A S1-S4, C-loop missense dominant negative (3)(5)(6) 7 39 16 13 p.(Val205Met) c.613G>A S1-S4 unknown 1 2 1 0 p.(Val207_Val212del) c.619_636delGTGGCCTCCATGGTGGTC S1-S4 unknown 1 3 2 0 49237 p.(Gln220Argfs*17) c.657delG S1-S4 missense in-frame deletion frameshift 49221 49222 49223 49224 49225 49226 49227 49228 49229 49230 49231 49232 49233 49234 49235 49236 haploinsufficiency 1 3 0 2 p.(Ser225Leu) c.674C>T S1-S4 missense dominant negative (2)(3)(7) 9 70 40 16 49238 49239 49240 49241 49242 49243 49244 49245 49246 49247 49248 49249 49250 49251 49252 49253 49254 49255 49256 49257 49258 49259 49260 49261 49262 49263 49264 49265 49266 49267 49268 49269 p.(Ala226Val) c.677C>T S1-S4 missense unknown 1 3 2 0 p.0? c.683+5G>A S1-S4 splice site haploinsufficiency 2 4 1 1 p.0? c.684-1G>C S1-S4 splice site haploinsufficiency 1 2 0 1 p.(Arg231Cys) c.691C>T S1-S4 missense non-dominant negative (8)(9) 5 15 9 2 p.(Arg231His) p.(Val241Ile) c.692G>A c.721G>A S1-S4 S1-S4 missense missense unknown unknown 1 1 2 2 0 1 1 0 p.(Asp242Asn) c.724G>A S1-S4, C-loop missense unknown 2 5 2 1 p.(Arg243Cys) c.727C>T S1-S4, C-loop missense dominant negative (2)(3) 4 29 15 8 p.(Arg243His) c.728G>A S1-S4, C-loop missense non-dominant negative (4)(9) 5 33 9 13 p.(Trp248Phe) c.743_744delinsTC S1-S4, C-loop missense non-dominant negative (10) 1 3 0 2 49270 16 49271 49272 49273 49274 49275 49276 49277 49278 49279 49280 49281 49282 p.(Val254Met) c.760G>A S1-S4, C-loop missense dominant negative (2)(3)(5)(11) 12 48 19 p.(Val254Leu) c.760G>T S1-S4, C-loop missense unknown 1 4 0 2 p.(His258Pro) c.773A>C S1-S4, C-loop missense unknown 3 8 3 2 p.(His258Arg) p.(Arg259Cys) p.(Arg259Leu) p.? S1-S4, C-loop S1-S4, C-loop S1-S4, C-loop S1-S4, C-loop missense missense missense splice site unknown dominant negative (12) unknown unknown 1 1 1 1 2 2 2 2 0 1 1 1 1 0 0 0 p.? c.773A>G c.775C>T c.776G>T c.780+1G>T c.780+2_780+20del 49283 49284 49285 49286 49287 49288 49289 49290 S1-S4, C-loop splice site unknown 1 3 0 2 49291 p.(Glu261Lys) p.(Glu261Leu) p.(Glu261Gly) c.781G>A c.781_782delinsTT c.782A>G S1-S4, C-loop S1-S4, C-loop S1-S4, C-loop missense missense missense unknown unknown unknown 1 1 1 2 2 9 0 1 4 1 0 4 p.(Gly269Ser) c.805G>A S5-pore-S6 missense unknown (2)(4)(13) 11 31 10 9 p.(Gly269Asp) p.(Gly272Asp) p.(Ile274Val) c.806G>A c.815G>A c.820A>G S5-pore-S6 S5-pore-S6 S5-pore-S6 dominant negative (4) unknown unknown 1 1 1 3 2 4 2 1 2 0 0 1 p.(Ser277del) c.828_830delCTC S5-pore-S6 missense missense missense in-frame deletion 49292 49294 49293 49295 49296 49297 49298 49299 49300 49301 49302 49303 49304 49305 49306 49307 49308 haploinsufficiency (14) 1 2 1 0 49309 p.(Ser277Trp) c.830C>G S5-pore-S6 missense unknown 2 4 1 2 p.(Ser277Leu) c.830C>T S5-pore-S6 missense dominant negative (15)(16) 2 10 3 4 p.(Val280Ala) p.(Ala283Asp) p.(Glu284Lys) p.(Val288Trpfs*60) c.839T>C c.848C>A c.850G>A c.862_880del S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense missense missense frameshift unknown unknown unknown haploinsufficiency 1 1 1 1 2 2 3 8 1 1 2 2 0 0 0 4 49310 49311 49312 49313 49314 49315 49316 49317 p.(Phe296Ser) p.(Ala300Thr) p.(Ala302Glu) p.(Leu303Arg) p.(Leu303Pro) p.(Trp305Ser) c.887T>C c.898G>A c.905C>A c.908T>G c.908T>C c.914G>C S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense missense missense missense missense missense unknown non-dominant negative (7) unknown unknown unknown unknown (2)(4) 1 1 1 1 1 1 5 3 3 2 8 6 3 2 0 1 4 2 1 0 2 0 1 2 p.(Gly306Arg) c.916G>A S5-pore-S6 missense dominant negative (5) 2 4 1 1 p.(Val307Trpfs*47) p.? p.(Thr309Arg) p.(Thr311Ala) p.(Thr311Ile) p.(Thr312Ile) p.(Ile313Lys) c.919delG c.922-2A>G c.926C>G c.931A>G c.932C>T c.935C>T c.938_939delinsAA S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 frameshift splice site missense missense missense missense missense haploinsufficiency unknown unknown unknown unknown dominant negative (3)(17) unknown 1 1 1 1 1 1 1 3 2 2 3 2 6 2 2 1 0 0 1 2 1 0 0 1 2 1 2 0 p.(Gly314Ser) c.940G>A S5-pore-S6 missense dominant negative (2)(4)(18)(19) 9 29 15 4 p.(Tyr315Cys) c.944A>G S5-pore-S6 missense dominant negative (2)(20) 1 3 2 0 p.(Tyr315Ser) c.944A>C S5-pore-S6 missense dominant negative (4) 4 30 16 8 p.(Gly316Glu) c.947G>A S5-pore-S6 missense unknown 3 11 5 2 p.(Asp317Asn) c.949G>A S5-pore-S6 missense unknown 1 2 1 0 p.(Pro320Ala) c.958C>G S5-pore-S6 missense dominant negative (21) 3 21 3 11 49318 49319 49320 49321 49322 49323 49324 49325 49326 49327 49328 49329 49330 49331 49332 49333 49334 49335 49336 49337 49338 49339 49340 49341 49342 49343 49344 49345 49346 49347 49348 49349 49350 49351 49352 49353 p.(Pro320Ser) p.(Pro320His) c.958C>T c.959C>A S5-pore-S6 S5-pore-S6 missense missense unknown dominant negative (21) 1 1 2 3 1 2 0 0 p.(Thr322Met) c.965C>T S5-pore-S6 missense unknown 5 13 3 3 p.(Gly325Arg) c.973G>A S5-pore-S6 missense dominant negative (15)(22) 10 26 13 3 p.(Gly325Glu) p.(Ser338Cys) p.(Phe339Ser) c.974G>A c.1013C>G c.1016T>C S5-pore-S6 S5-pore-S6 S5-pore-S6 unknown unknown unknown 1 1 1 2 2 4 1 1 3 0 0 0 p.(Phe340del) c. 1017_1019delTTC S5-pore-S6 missense missense missense in-frame deletion unknown 2 5 2 1 p.(Ala341Val) c.1022C>T S5-pore-S6 missense dominant negative (19) 10 42 20 10 p.(Leu342Phe) c.1024C>T S5-pore-S6 Missense dominant negative * 1 5 5 0 p.(Ala344Val) c.1031C>T S5-pore-S6 Missense unknown 3 23 14 2 p.Ala344sp c.1031C>A S5-pore-S6 splice site dominant negative * 6 16 4 6 49354 49355 49356 49357 49358 49359 49360 49361 49362 49363 49364 49365 49366 49367 49368 49369 49370 49371 49372 49373 49374 49375 49376 49377 49378 49379 49380 49381 49382 49383 49384 49385 49386 49387 49388 49389 49390 p.Ala344sp c.1032G>A S5-pore-S6 splice site dominant negative (23) 12 41 23 5 p.? p.? p.? p.? p.(Gly350Arg) p.(Gly350Val) c.1032+1G>A c.1032+3A>G c.1032+5G>A c.1032+5G>C c.1048G>C c.1049G>T S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 splice site splice site splice site splice site missense missense unknown Unknown (24) unknown unknown unknown unknown 1 1 1 1 1 1 3 2 8 5 5 3 2 1 1 4 2 2 0 0 6 0 0 0 p.(Gln356*) c.1066C>T C-terminus Nonsense haploinsufficiency 2 5 2 1 p.(Gln359_Lys362del) c.1077_1088del GAGGCAGAAGCA C-terminus in-frame deletion unknown 3 11 4 2 p.(Lys362Arg) p.(Asn365Lys) c.1085A>G c.1095C>G C-terminus C-terminus Missense Missense unknown unknown 1 1 7 2 4 1 0 0 p.(Arg366Trp) c.1096C>T C-terminus Missense unknown 5 21 11 3 p.(Arg366Pro) p.(Arg366Gln) c.1097G>C c.1097G>A C-terminus C-terminus Missense Missense unknown unknown 1 3 2 13 1 9 0 0 49391 49392 49393 49394 49395 49396 49397 49398 49399 49400 49401 49402 49403 49404 49405 49406 49407 49408 49409 49410 49411 49412 49413 49414 49415 49416 49417 49418 49419 49420 49421 49422 49423 49424 49425 49426 49427 p.(Ala371Thr) p.(Ser373Pro) c.1111G>A c.1117T>C C-terminus C-terminus Missense Missense unknown unknown 1 1 2 12 1 2 0 9 p.(Ile375Argfs*43) c.1124_1127delTTCA C-terminus frameshift haploinsufficiency 2 6 4 0 p.(Trp379Ser) p.(Arg380Ser) p.(Arg397Trp) c.1136G>C c.1140G>T c.1189C>T C-terminus C-terminus C-terminus Missense Missense Missense unknown unknown unknown 1 1 1 4 2 5 3 1 0 0 0 4 p.(Phe423Valfs*40) c.1265dupA C-terminus frameshift Haploinsufficiency 2 8 3 3 p.(Lys422Thr) p.(Glu449Argfs*14) p.(Pro448Glnfs*18) c.1265A>C c.1343dupC c.1343delC C-terminus C-terminus C-terminus Unknown Haploinsufficiency Haploinsufficiency 1 1 1 2 9 2 1 6 1 0 1 0 p.(Gln505delinsCysAl a) c.1513_1514del insTGTGC C-terminus Unknown 1 8 4 2 49442 p.(Ile517Thr) p.(Arg518Gly) p.(Arg518*) c.1550T>C c.1552C>G c.1552C>T C-terminus C-terminus C-terminus missense frameshift frameshift in-frame deletion insertion missense missense nonsense 49428 49429 49430 49431 49432 49433 49434 49435 49436 49437 49438 49439 49440 49441 Unknown Unknown Haploinsufficiency 1 1 1 3 2 2 2 1 1 0 0 0 p.(Met520Arg) c.1559T>G C-terminus missense Unknown 2 8 5 0 p.(Ala525Val) c.1574C>T C-terminus missense Unknown 2 4 2 0 p.(Gln530*) p.(Ala532Glu) c.1588C>T c.1595C>A C-terminus C-terminus nonsense missense Haploinsufficiency Unknown 1 1 2 4 1 3 0 0 p.(Arg539Trp) c.1615C>T C-terminus missense non-dominant negative (6) 3 13 6 4 p.(Gln544Valfs*49) c.1630_1637delinsGTTGAGA C-terminus frameshift Haploinsufficiency 3 8 0 4 p.(Tyr545Cys) c.1634A>G C-terminus missense Unknown 1 3 2 0 p.(Arg555Cys) c.1663C>T C-terminus missense dominant negative (3)(4) 5 62 41 15 49443 49444 49445 49446 49447 49448 49449 49450 49451 49452 49453 49454 49455 49456 49457 49458 49459 49460 49461 p.(Arg555His) p.(Arg561Ser) p.(Asp564His) p.(Ser566Pro) c.1664G>A c.1683G>T c.1690G>C c.1696T>C C-terminus C-terminus C-terminus C-terminus missense missense missense missense Unknown Unknown Unknown Unknown 1 1 1 1 8 4 4 3 3 3 3 2 2 0 0 0 p.(Ile567Thr) c.1700T>C C-terminus missense Unknown 2 11 6 3 p.(Pro570Leu) c.1709C>T C-terminus missense Unknown 2 7 4 1 p.(Leu572Cysfs*21) p.0? p.(Arg583Cys) p.(Thr587Arg) c.1714delC c.1732+2T>C c.1747C>T c.1760C>G C-terminus C-terminus C-terminus C-terminus frameshift splice site missense missense Haploinsufficiency Haploinsufficiency Unknown Unknown (25)(26) 1 1 1 1 3 2 3 3 2 0 2 2 0 1 0 0 p.(Thr587Met c.1760C>T C-terminus missense Unknown (25)(26) 11 30 14 4 p.(Ala590Thr) c.1768G>A C-terminus missense Unknown 1 5 4 0 p.(Arg591His) c.1772G>A C-terminus missense non-dominant negative (2) 13 43 17 9 49462 49463 49464 49465 49466 49467 49468 49469 49470 49471 49472 49473 49474 49475 49476 49477 49478 49479 49480 49481 49482 49483 49484 49485 49486 49487 49488 49489 49490 49491 49492 49493 49494 49495 49496 49497 49498 3 11 6 2 1 1 1 1 2 2 2 2 1 1 1 1 0 0 0 0 1 4 1 2 49508 frameshift Haploinsufficiency Unknown Haploinsufficiency Haploinsufficiency non-dominant negative (2)(28) Haploinsufficiency 49499 49500 49501 49502 49503 49504 49505 49506 49507 1 4 1 1 C-terminus frameshift Haploinsufficiency 2 5 2 1 C-terminus frameshift Haploinsufficiency 1 2 0 1 49509 49510 49511 49512 p.(Arg594Gln) c.1781G>A C-terminus missense p.(Arg594*) p.(Lys598Arg) p.(Asp603Thrfs*63) p.(Gln604*) c.1780C>T c.1793A>G c.1807delG c.1810C>T C-terminus C-terminus C-terminus C-terminus nonsense missense frameshift nonsense p.(Asp611Tyr) c.1831G>T C-terminus missense p.(Pro631Hisfs*14) c.1892_1911del C-terminus p.(Arg632Glufs*34) c.1893delC p.(His637Thrfs*29) c.1909delC non-dominant negative (2)(27) Supplemental Table 1. KCNQ1 variants by location, type of variant, functional effect and parental transmission: Genetic alterations of the amino acid sequence were characterized by location, and by type of variant (missense, splice site, in-frame deletions, nonsense, and frameshift). The nucleotide and amino acid designations were based on the KCNQ1 reference sequences NM_000218.2 and NG_008935.1. Exons are numbered like in Splawski et al 1998 (29). The variants were categorized by their location in the encoded channel as follows: variants in the transmembrane region, either in S1-S4 or in S5-pore-S6 defined as amino acid residues from 124-262 and 263 to 355; in the C-loop region, defined as the sequence involving amino acid residues from 171 to 195 and from 242 to 262; in the remaining N-terminus region, defined as amino acid residues before 120, and the C-terminus region, defined as after residue 355. We classified the variants into four groups: (1) missense variants with proven dominant negative, or (2) non-dominant negative effects based on published coexpression studies of variant and wild type channels, (3) variants leading to haploinsufficiency, and (4) with unknown consequences. The group with haploinsufficiency contains the nonsense and frameshift variants and some splice variants as defined below. Splice variants were classified either according to published studies or to expected consequences of exon(s) splicing. KCNQ1 exons 6 to 9 have numbers of nucleotides which are multiple of 3 and their splicing does not induce frameshift. Thus, splice variants in introns 1, 2, 3, 4 and 14 were classified as expecting to lead to frameshift and haploinsufficiency, while the variant affecting the acceptor site at the 3' end of the intron 7 (c.922-2 A>G) was classified as unknown. The c.1032G>A (p.A344sp) variant, which changes the last base of the exon 7 induces splicing of exons 7 and 8 and in-frame transcripts and these shorter channels were associated with a clear dominant negative effect on wild channels (23). The other splice variants of the donor site at the 5’ end of the intron 7 (c.1032 +1 G>A, +3 A>G, +5 G>A, + 5 G>C) induce probably also in-frame transcripts but in much lower amounts as recently shown by TsujiWakisaka and coworkers (24). These variants were thus classified in group of variants with unknown consequences. Nucleotide changes in exon 7 close to the exon-intron junction might cause exon skipping. As shown below, we amplified mRNA from patient lymphoblastoid cell lines with KCNQ1 primers, p.Ala344Val had the same pattern as control subjects and was thus considered to belong to the missense variant group with unknown consequences, while p.Ala344Glu and p.Leu342Phe showed patterns similar toA344spl with shorter transcripts likely causing the same dominant negative effect (*) as p.A344spl. Two missense variants identified in patients with recessive Romano-Ward without congenital deafness (p.Gly269Ser, p.Trp305Ser), leading to an intermediate dysfunction as illustrated by discrepancies between the published studies, could not be easily classified and were thus included in the group with unknown effect. References 1. Dahimène S, Alcoléa S, Naud P, Jourdon P, Escande D, Brasseur R, Thomas A, Baró I, Mérot J. The N-terminal juxtamembranous domain of KCNQ1 is critical for channel surface expression: implications in the Romano-Ward LQT1 syndrome. Circ. 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Cardiol. 2007 Mar;42(3):662–669. 24. Tsuji-Wakisaka K, Akao M, Ishii TM, Ashihara T, Makiyama T, Ohno S, Toyoda F, Dochi K, Matsuura H, Horie M. Identification and functional characterization of KCNQ1 mutations around the exon 7-intron 7 junction affecting the splicing process. Biochim. Biophys. Acta. 2011 Nov;1812(11):1452– 1459. 25. Biliczki P, Girmatsion Z, Brandes RP, Harenkamp S, Pitard B, Charpentier F, Hébert TE, Hohnloser SH, Baró I, Nattel S, Ehrlich JR. Traffickingdeficient long QT syndrome mutation KCNQ1-T587M confers severe clinical phenotype by impairment of KCNH2 membrane localization: evidence for clinically significant IKr-IKs alpha-subunit interaction. Heart Rhythm. 2009 Dec;6(12):1792–1801. 26. Hayashi K, Shuai W, Sakamoto Y, Higashida H, Yamagishi M, Kupershmidt S. Trafficking-competent KCNQ1 variably influences the function of HERG long QT alleles. Heart Rhythm. 2010 Jul;7(7):973–980. 27. Huang L, Bitner-Glindzicz M, Tranebjaerg L, Tinker A. A spectrum of functional effects for disease causing mutations in the Jervell and Lange-Nielsen syndrome. Cardiovasc. Res. 2001 Sep;51(4):670–680. 28. Yamaguchi M, Shimizu M, Ino H, Terai H, Hayashi K, Kaneda T, Mabuchi H, Sumita R, Oshima T, Hoshi N, Higashida H. Compound heterozygosity for mutations Asp611-->Tyr in KCNQ1 and Asp609-->Gly in KCNH2 associated with severe long QT syndrome. Clin. Sci. 2005 Feb;108(2):143–150. 29. Splawski I, Shen J, Timothy KW, Vincent M, Lehman MH, Keating MT. Genomic structure of three long QT syndrome genes. Genomics. 1998 Jul; 51(1):86-97. c.1032G>A (p.A344spl) c.1031C>T (p.A344V) Control 1000 bp 606 bp 510 bp (skipping of exon 8) 399 bp (skipping of exons 7 and 8) 500 bp --- --Exon 7 Intron 7 - - - TTGCGCTCCCAGCG /gtaggtgcccc - - 1024 1031 1032 - Supplemental Table 2. KCNH2 and SCN5A variants by location, type of variant and parental transmission p.0? p.(Thr13Asn) Nucleotide change c.2T>G c.38C>A 3 4 Maternal transmission 2 3 Paternal transmission 0 0 Patient LOVD ID 49515 49516 N-terminus N-terminus KCNH2 p.(Asp16_Ile19del) c.45_56delGG N-terminus 1 9 5 1 49517 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Ile19Thr) p.(Arg20Leu) p.(Leu28Serfs*32) p.(Ile42Ser) p.(Tyr43Asp) p.(Cys44Gly) p.(Cys44Phe) p.(Asn45Lys) p.(Cys49Arg) p.(Glu50Serfs*10) c.56T>C c.59G>T c.81delT c.125T>G c.127T>G c.130T>G c.131G>T c.135C>A c.145T>C c.148delG 1 1 1 1 1 1 1 1 1 1 4 3 3 2 3 3 6 2 8 2 0 2 0 0 2 2 2 1 6 1 2 0 2 1 0 0 3 0 1 0 missense 2 5 0 3 N-terminus missense 2 7 2 2 c.167G>A N-terminus missense 1 3 2 0 p.(Glu58Lys) c.172G>A N-terminus missense 2 6 1 3 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Cys64Tyr) p.(Phe68Val) p.(Gly71Arg) p.(Pro72Leu) p.(Pro72Gln) p.(Gln75*) c.191G>A c.202T>G c.211G>A c.215C>T c.215C>A c.223C>T N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus missense missense missense missense missense nonsense 1 1 1 1 1 1 6 2 2 14 2 5 3 1 0 5 1 4 0 0 1 8 0 0 KCNH2 p.(Leu87Pro) c.260T>C N-terminus missense 2 8 2 3 49518 49519 49520 49521 49522 49524 49523 49525 49526 49527 49530 49531 49528 49529 49532 49533 49534 49535 49536 49537 49538 49539 49540 49541 49542 KCNH2 p.(Gly53Ser) KCNH2 Gene Amino acid change KCNH2 KCNH2 Location Variant type Total families Total carriers 1 1 N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus nonsense missense in-frame deletion missense missense frameshift missense missense missense missense missense missense frameshift c.157G>A N-terminus p.(Gly53Asp) c.158G>A KCNH2 p.(Arg56Gln) KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Lys93Arg) p.(Tyr99Ser) p.(Arg100Gly) p.(Phe106Val) p.(Asp111Val) c.278A>G c.296A>C c.298C>G c.316T>G c.332A>T N-terminus N-terminus N-terminus N-terminus N-terminus missense missense missense missense missense 1 1 1 1 1 2 13 4 2 3 1 2 1 1 1 0 8 0 0 0 KCNH2 p.(Pro114Ser) c.340C>T N-terminus missense 2 6 2 2 KCNH2 KCNH2 KCNH2 p.(Val115Met) p.(Met124Thr) p.(Thr152Profs*14) c.343G>A c.371T>C c.453delC N-terminus N-terminus N-terminus missense missense frameshift 1 1 1 2 4 2 1 0 1 0 2 0 KCNH2 p.(Thr152Hisfs*180) c.453dupC N-terminus frameshift 2 5 1 1 KCNH2 p.(Pro157Alafs*176) N-terminus frameshift 1 2 1 0 49556 KCNH2 p.(Arg159Glnfs*174) N-terminus frameshift 1 4 0 3 49543 KCNH2 KCNH2 KCNH2 KCNH2 p.(Lys161Glnfs*171) p.(Phe163Profs*168) p.(Arg176Alafs*14) p.(Glu177Ter) p.(Gly187_Gly189del ) p.(Pro191_Ala193del ) p.(Asp197Tyr) p.(Pro241Leu) p.(Arg242Alafs*118) p.(Ala244Serfs*112) N-terminus N-terminus N-terminus N-terminus frameshift frameshift frameshift nonsense in-frame deletion 1 1 1 1 4 3 3 2 3 0 2 1 0 2 0 0 49557 49558 49559 49560 1 3 2 0 49561 N-terminus deletion 1 3 0 2 49562 N-terminus N-terminus N-terminus N-terminus missense missense frameshift frameshift in-frame deletion frameshift frameshift frameshift Missense missense 1 1 1 1 4 8 4 2 0 3 3 1 3 1 0 0 49563 49564 49565 49566 1 7 1 3 49567 1 1 1 1 1 2 5 5 3 2 1 4 2 0 1 0 0 0 2 0 49568 49569 49571 49570 49572 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 c.468_469insGC CC c.475_476insAG GC c.480dupC c.486_487delCT c.525_558del c.529G>T c.560_568delGC GCGGGCG c.567_575del c.589G>T c.722C>T c.724delC c.730_742del c.754_756delCG p.(Arg252del) G p.(His254Thrfs*101) c.760_775del p.(Arg273Glufs*87) c.817delC p.(Pro297Thrfs*35) c.888delGinsAA p.(Pro297Ser) c.889C>T p.(Met308Val) c.922A>G N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus N-terminus 49544 49545 49546 49547 49548 49549 49550 49551 49552 49554 49553 49555 KCNH2 KCNH2 KCNH2 p.(Arg312Hisfs*13) p.(Pro334Leu) p.(Gln335*) KCNH2 p.(Thr337Tyrfs*19) KCNH2 p.(Lys364Metfs*3) KCNH2 KCNH2 p.(Arg366*) p.0? KCNH2 p.? KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Gln391*) p.(Trp398*) p.(His402Arg) p.(Pro426His) p.(Tyr427Cys) p.(Asn428Leu) c.933-952del c.1001C>T c.1003C>T c.1008_1009ins T c.1091_1102deli ns(53) c.1096C>T c.1129-1G>A c.1128+1892_16 78dup c.1171C>T c.1193G>A c.1205A>G c.1277C>A c.1280A>G c.1283C>T KCNH2 p.Val454Trpfs*67 c.1360delA N-terminus N-terminus N-terminus frameshift missense nonsense 1 1 1 2 3 3 1 2 0 0 0 2 N-terminus frameshift 2 13 6 5 N-terminus frameshift 2 7 1 4 N-terminus N-terminus nonsense splice site 1 1 2 25 0 18 1 2 49573 49574 49575 49576 49577 49578 49579 49580 49581 N-terminus frameshift 1 13 3 7 49582 N-terminus S1-S4 S1-S4 S1-S4 S1-S4 S1-S4 nonsense nonsense missense missense missense missense 1 1 1 1 1 1 2 3 2 3 2 2 1 0 0 0 0 1 0 2 1 2 1 0 49583 49584 49585 49586 49587 49588 S1-S4 frameshift 1 3 0 2 49592 in-frame insertion 1 13 6 5 49589 missense 2 8 2 2 frameshift 1 2 1 0 49590 49591 49593 frameshift 1 2 0 1 49594 missense 1 3 2 0 49595 49596 49597 49598 49599 49600 49601 49602 c.1384_1401du p S1-S4 ATGTTCATTGTG GACATC KCNH2 p.(Met462Leu467dup) KCNH2 p.(Phe463Leu) KCNH2 p.(Leu468Profs*51) KCNH2 p.(His485Glnfs*40) KCNH2 p.(Pro486Arg) KCNH2 p.(His492Tyr) c.1474C>T S1-S4 missense 2 4 1 1 KCNH2 p.(Trp497*) c.1491G>A S1-S4 nonsense 1 3 2 0 KCNH2 p.(Asp501Asn) c.1501G>A S1-S4 missense 2 8 6 0 KCNH2 KCNH2 p.0? p.(Arg534Cys) c.1557+1G>A c.1600C>T S1-S4 S1-S4 splice site missense 1 3 3 17 1 4 0 9 c.1389C>G S1-S4 c.1402dup S1-S4 c.1436_1454du S1-S4 p c.1457C>G S1-S4 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Leu553Val) p.(Phe557Leufs*8) p.(Ala558Pro) p.(Ala561Thr) p.(Ala561Val) c.1657C>G c.1671delT c.1672G>C c.1681G>A c.1682C>T S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense frameshift missense missense missense 1 1 1 1 1 5 7 4 5 2 1 4 0 3 1 3 1 3 0 0 KCNH2 p.(His562Arg) c.1685A>G S5-pore-S6 missense 3 18 3 9 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.( Trp563Gly) p.(Trp563*) p.( Trp563Cys) p.(Ala565Ser) p.(Cys566Ser) p.(Trp568*) p.(Tyr569Cys) p.(Gly572Cys) c.1687T>G c.1689G>A c.1689G>T c.1693G>T c.1696T>A c.1704G>A c.1706A>G c.1714G>T S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense nonsense missense missense missense nonsense missense missense 1 1 1 1 1 1 1 1 2 3 2 2 9 3 4 4 1 0 1 1 1 0 3 3 0 2 0 0 5 2 0 0 KCNH2 p.(Gly572Ser) c.1714G>A S5-pore-S6 missense 4 10 4 2 KCNH2 KCNH2 KCNH2 p.(Gly572Asp) p.(Met574Val) p.(Glu575*) c.1715G>A c.1720A>G c.1723G>T S5-pore-S6 S5-pore-S6 S5-pore-S6 missense missense nonsense in-frame deletion 1 1 1 2 3 3 1 2 0 0 0 1 49603 49604 49605 49606 49607 49608 49609 49610 49611 49612 49614 49613 49615 49616 49617 49618 49619 49625 49620 49621 49622 49623 49624 49626 49627 1 17 11 4 49628 KCNH2 p.(His578-Arg582del) c.1732_1746del S5-pore-S6 KCNH2 p.(Met579Thr) c.1736T>C S5-pore-S6 missense 2 7 2 3 KCNH2 p.(Arg582Cys) c.1744C>T S5-pore-S6 missense 6 31 15 7 KCNH2 p.(Arg582Leu) c.1745G>T S5-pore-S6 missense 2 4 0 2 49629 49630 49631 49632 49633 49634 49635 49636 49637 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Gly584Ser) p.(Gly584Cys) p.(Gly584Val) p.(Leu589Pro) p.(Gly590Val) p.(Gln592Argfs*2) p.(Ile593Thr) p.( Ile593Arg) c.1750G>A c.1750G>T c.1751G>T c.1766T>C c.1769G>T c.1775delA c.1778T>C c.1778T>G S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense Missense missense Missense Missense frameshift Missense Missense 1 1 1 1 1 1 1 1 8 6 2 3 3 5 4 2 2 2 1 2 2 0 3 0 4 1 0 0 0 3 0 1 KCNH2 p.(Lys595Glu) c.1783A>G S5-pore-S6 Missense 2 5 2 1 KCNH2 KCNH2 p.(Lys595Asn) p.(Tyr597Cys) c.1785A>T c.1790A>G S5-pore-S6 S5-pore-S6 Missense missense 1 1 2 3 0 2 1 0 KCNH2 p.(Gly601Ser) c.1801G>A S5-pore-S6 missense 4 13 7 1 KCNH2 p.(Gly603Asp) c.1808G>A S5-pore-S6 missense 1 3 2 0 KCNH2 p.(Gly604Ser) c.1810G>A S5-pore-S6 missense 4 12 2 4 KCNH2 KCNH2 p.(Asp609Asn) p.(Tyr611*) c.1825G>A c.1833T>G S5-pore-S6 S5-pore-S6 missense nonsense 1 1 7 3 2 2 3 0 KCNH2 p.(Thr613Met) c.1838C>T S5-pore-S6 missense 5 23 9 8 KCNH2 p.(Thr613Lys) c.1838C>A S5-pore-S6 missense 1 4 1 2 KCNH2 p.(Ala614Val) c.1841C>T S5-pore-S6 missense 4 11 6 1 KCNH2 KCNH2 p.(Leu615Phe) p.(Thr618Ser) c.1843C>T c.1853C>G S5-pore-S6 S5-pore-S6 missense missense 1 1 2 2 1 1 0 0 49638 49639 49641 49640 49642 49643 49644 49645 49646 49647 49648 49649 49650 49651 49652 49653 49654 49655 49656 49657 49658 49659 49660 49661 49662 49663 49664 49665 49666 49667 49668 49669 49670 49671 49672 49673 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Ser621Arg) p.(Ser621Asn) p.(Leu622Phe) p.(Thr623Ala) p.(Thr623Ile) p.(Val625Glu) S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense missense missense missense missense missense 1 1 1 1 1 1 4 2 2 2 2 3 2 1 0 1 1 1 0 0 1 0 0 1 49675 49674 49676 49677 49678 49679 S5-pore-S6 in-frame insertion 1 5 0 4 49680 p.(Gly628Ser) p.(Asn629Ser) c.1861A>C c.1862G>A c.1864C>T c.1867A>G c.1868C>T c.1874T>A c.1878_1879ins CCT ;1885_1941 dup c.1882G>A c.1886A>G KCNH2 p.? KCNH2 KCNH2 S5-pore-S6 S5-pore-S6 missense missense 1 1 2 4 1 3 0 0 KCNH2 p.(Asn633Ser) c.1898A>G S5-pore-S6 missense 3 12 2 7 KCNH2 KCNH2 KCNH2 p.(Thr634Ala) p.(Lys638Glu) p.(Lys638Gln) c.1900A>G c.1912A>G c.1912A>C S5-pore-S6 S5-pore-S6 S5-pore-S6 1 1 1 2 2 5 1 0 4 0 1 0 KCNH2 p.(Lys638del) 1 2 0 1 49689 KCNH2 p.(Phe640del) 1 4 1 1 49690 KCNH2 KCNH2 KCNH2 KCNH2 p.(Ser641Phe) p.(Val644Phe) p.(Met645Leu) p.(Ser649Pro) S5-pore-S6 S5-pore-S6 S5-pore-S6 S5-pore-S6 missense missense missense in-frame deletion in-frame deletion missense missense missense missense 49681 49682 49683 49684 49685 49686 49687 49688 1 1 1 1 3 4 2 2 0 0 1 1 2 3 0 0 49691 49692 49693 49694 KCNH2 p.(Met651Valfs*3) S5-pore-S6 frameshift 1 2 1 0 49695 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Gln664*) p.(Ser668*) Gly669Alafs*45 p.(Thr673*) p.(Gln676*) C-terminus C-terminus C-terminus C-terminus C-terminus nonsense nonsense frameshift nonsense nonsense 1 1 1 1 1 3 2 2 2 3 0 1 0 1 2 2 0 1 0 0 49696 49697 49741 49698 49700 KCNH2 p.(Gln676Hisfs*46) C-terminus frameshift 1 2 1 0 49699 KCNH2 p.(Gln688*) C-terminus nonsense 1 18 8 7 49701 c.1913_1915del S5-pore-S6 c.1919_1921del TCT c.1922C>T c.1930G>T c.1933A>C c.1945T>C c.1951_1952del AT c.1990C>T c.2003C>A c.2006del c.2019C>G c.2026C>T c.2028_2029del AG c.2062C>T S5-pore-S6 KCNH2 p.(Glu698*) c.2092G>T C-terminus nonsense 3 53 22 20 KCNH2 KCNH2 p.(Asp712Asn) p.? c.2134G>A c.2145G>C C-terminus C-terminus missense splice site 1 1 2 3 1 0 0 2 KCNH2 p.0? c.2146-2A>G C-terminus splice site 2 25 8 11 KCNH2 KCNH2 p.( Pro721Leu) p.(Pro721Arg) C-terminus C-terminus missense missense 1 1 2 6 1 2 0 2 KCNH2 p.(Leu724Profs*10) C-terminus frameshift 1 3 0 2 49711 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(His731Pro) p.(Leu732Pro) p.(Gln738*) p.(Arg744Pro) p.(Arg752Trp) p.(Arg752Pro) p.(Ser783Pro) p.(Gly785Ser) p.(Gly785Alafs*25) p.(Gly800Arg) p.0? p.0? p.(Ala813Cysfs*17) c.2162C>T c.2162C>G c.2169_2170du p c.2192A>C c.2195T>C c.2212C>T c.2231G>C c.2254C>T c.2255G>C c.2347T>C c.2353G>A c.2354delG c.2398G>C c.2399-2A>G c.2401+1G>A c.2436dupT 49702 49703 49704 49705 49706 49707 49708 49709 49710 C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus C-terminus missense missense nonsense missense missense missense missense missense frameshift missense splice site splice site frameshift 1 1 1 1 1 1 1 1 1 1 1 1 1 2 4 3 4 2 19 3 2 6 2 7 5 4 1 3 1 3 0 5 2 0 2 1 5 1 1 0 0 1 0 1 6 0 1 2 0 1 2 0 KCNH2 p.(Ser818Leu) c.2453C>T C-terminus missense 3 6 3 0 KCNH2 KCNH2 KCNH2 KCNH2 p.(Val822Met) p.(Arg823Gln) p.(Arg823Trp) p.(His831Pro) c.2464G>A c.2468G>A c.2467C>T c.2492A>C C-terminus C-terminus C-terminus C-terminus missense missense missense missense 1 1 1 1 4 2 3 4 3 1 2 0 0 0 0 3 KCNH2 p.(Asp837Asn) c.2509G>A C-terminus missense 3 11 3 2 49712 49713 49714 49715 49717 49716 49718 49720 49719 49723 49721 49722 49724 49725 49726 49727 49730 49728 49729 49731 49732 49733 49734 KCNH2 KCNH2 p.(Met844_Ser1159d c.2532_2535deli C-terminus elinsIle) nsTTAA p.(Trp853Cysfs*15) c.2559delG C-terminus C-terminus 1 6 0 4 49735 frameshift 1 4 1 1 nonsense 2 6 3 1 49736 49737 49738 nonsense 1 4 3 0 49740 missense 1 3 0 2 49739 frameshift 1 2 1 0 49742 frameshift 2 11 5 3 49743 49744 frameshift 1 4 0 3 49746 missense 1 3 2 0 49745 frameshift 1 3 1 1 49747 frameshift 2 5 3 0 49748 49751 frameshift 2 10 4 4 49749 49750 frameshift 1 3 2 0 49752 KCNH2 p.(Arg863*) KCNH2 p.(Thr865*) KCNH2 p.(Thr865Ile) KCNH2 p.(Pro872Argfs*31) KCNH2 p.(Gly873Alafs*5) KCNH2 p.(Arg883Alafs*87) KCNH2 p.(Arg883Gln) KCNH2 p.(Arg912Alafs*63) KCNH2 p.(Ala915Argfs*61) KCNH2 p.(Arg912Glyfs*6) KCNH2 p.(Gly925Valfs*49) KCNH2 p.(Pro926Alafs*14) c.2775dupG C-terminus frameshift 2 11 2 5 KCNH2 p.(Pro926Argfs*48) c.2775delG C-terminus frameshift 1 6 4 0 KCNH2 p.(Trp927*) c.2780G>A C-terminus nonsense 2 4 1 1 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Arg948His) p.(Gly965Argfs*154) p.(Leu973Argfs*84) p.(Glu978Ter) p.(Ser981Thrfs*76) C-terminus C-terminus C-terminus C-terminus C-terminus missense frameshift frameshift nonsense frameshift 1 1 1 1 1 6 2 2 2 3 5 0 0 0 2 0 1 1 1 0 C-terminus frameshift 2 10 0 7 KCNH2 c.2587C>T frameshift c.2593_2599del C-terminus ACCACCA c.2594C>T C-terminus c.2613_2669deli C-terminus nsACGCCTG c.2616delC C-terminus c.2647_2659del C-terminus ACCACCA c.2648G>A C-terminus c.2731_2732du C-terminus pGG c.2734_2738du C-terminus p c.2734_2738del C-terminus CGGGC c.2774_2775del C-terminus GGinsT c.2843G>A c.2892dupC c.2918delT c.2932G>T c.2942delG c.2959_2960del p.(Leu987Valfs*131) CT 49754 49755 49753 49756 49757 49758 49759 49760 49761 49762 49763 49764 KCNH2 p.? c.2966-3C>G C-terminus splice site 3 9 6 0 KCNH2 KCNH2 KCNH2 KCNH2 p.(Asn996Ile) p.(Phe998Serfs*59) p.(Trp1001*) p.(Asp1003Thrfs*54) C-terminus C-terminus C-terminus C-terminus missense frameshift nonsense frameshift 1 1 1 1 2 3 2 5 1 0 0 4 0 2 1 0 KCNH2 p.(Arg1014Profs*39) C-terminus frameshift 1 16 4 10 49773 KCNH2 KCNH2 p.(Arg1014*) p.(Ser1021Glnfs*98) C-terminus C-terminus nonsense frameshift 1 1 3 5 2 1 0 3 49774 49775 KCNH2 p.(Arg1032Alafs*21) C-terminus frameshift 1 3 2 0 49776 KCNH2 p.(Gly1031Profs*84) c.2987A>T c.2993delT c.3002G>A c. 3007delG c.3036_3048del CCCTCGATGCCC C c.3040C>T c.3060dupC c.3090_3102del GGGTCGGCGGC CC c.3091_3101del GGTCGGCGGCC 49765 49766 49767 49768 49769 49770 49771 C-terminus frameshift 1 2 1 0 49777 KCNH2 p.(Arg1032Serfs*87) c.3092dupG C-terminus frameshift 2 4 1 1 KCNH2 KCNH2 KCNH2 p.(Pro1034Glyfs*80) c.3093_3106del C-terminus p.(Arg1032Glyfs*80) c.3094_3113del C-terminus p.(Pro1034Glyfs*80) c.3096_3109del C-terminus c.3096_3097ins p.(Arg1033Alafs*26) C-terminus GCGGG p.(Arg1035Glyfs*22) c.3103delC C-terminus p.(Arg1035Glyfs*76) c.3103_3125del C-terminus c.3104_3105ins p.(Gly1036Argfs*22) C-terminus CC p.(Gly1036Asp) c.3107G>A C-terminus p.(Asp1037Argfs*82) c.3107dupG C-terminus c.3113delinsGG p.(Val1038Glyfs*24) TCGGCGGCCCC C-terminus GG c.3190_3199del p.(Leu1064Tyrfs*5) C-terminus CTGCAGCTGC frameshift frameshift frameshift 1 1 1 2 3 2 0 2 1 1 0 0 49778 49779 49782 49780 49781 frameshift 1 4 1 2 49783 frameshift frameshift 1 1 3 4 0 0 2 3 49772 49784 frameshift 1 3 2 0 49785 missense frameshift 1 1 4 4 1 2 2 1 49786 49787 frameshift 1 5 4 0 49788 frameshift 1 3 0 2 49789 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 KCNH2 p.(Gly1085Hisfs*30) KCNH2 KCNH2 KCNH2 SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A SCN5A p.(Pro1093Leu) p.0? p.(Ala1144Thr) p.(Arg18Gln) p.0? p.(Val411Met) p.(Gly615Glu) p.(Pro701Leu) p.(Gly797Val) p.(Arg814Gln) p.(Arg975Trp) p.(Glu1032Lys) p.(Gln1033Arg) p.(Ser1079Phe) p.(Trp1095Cys) p.(Asp1114Glu) p.(Ala1186Thr) p.(Ala1221Val) p.(Ile1278Asn) p.(Thr1304Met) c.3252_3262del GGGGCCTGGCC c.3278C>T c.3330+1G>A c.3430G>A c.53G>A c.703+1G>A c.1231G>A c.1844G>A c.2102C>T c.2390G>T c.2441G>A c.2923C>T c.3094G>A c.3098A>G c.3236C>T c.3285G>T c.3342C>A c.3556G>A c.3662C>T c.3833T>A c.3911C>T SCN5A p.(Ala1330Thr) c.3988G>A C-terminus frameshift 1 2 0 1 49790 C-terminus C-terminus C-terminus N-terminus DI DI DI-DII DI-DII DII DII DII-DIII DII-DIII DII-DIII DII-DIII DII-DIII DII-DIII DII-DIII DIII DIII DIII missense splice site missense missense splice site missense missense missense missense missense missense missense missense missense missense missense missense missense missense missense 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 4 2 4 2 6 2 2 3 3 2 2 2 3 2 9 2 2 2 4 0 2 0 1 0 0 0 1 0 2 1 1 1 0 0 2 1 1 1 2 1 0 1 2 1 5 1 0 2 0 0 0 0 2 1 4 0 0 0 0 DIII missense 2 7 5 0 49791 49792 49793 47469 47470 47471 47336 47337 47338 47339 47476 47477 47478 47479 47480 47481 47482 47483 47484 47485 47486 49027 1 3 0 2 2 6 3 1 1 1 1 2 16 4 0 9 0 1 2 3 6 27 8 10 SCN5A p.(Phe1617del) SCN5A SCN5A SCN5A p.(Thr1620Met) p.(Arg1644His) p.(Ala1746Thr) c.4859C>T c.4931G>A c.5236G>A DIV DIV DIV in-frame deletion in-frame deletion missense missense missense SCN5A p.(Ile1768Val) c.5302A>G C-terminus missense SCN5A p.(Gln1507_Pro1509 c.4519_4527del DIII-DIV del) CAGAAGCCC c.4850_4852del DIV 47487 47488 49028 47489 47490 47491 47492 49029 49030 49031 SCN5A p.(Glu1784Lys) c.5350G>A C-terminus missense 13 34 15 5 SCN5A p.(Asp1790Gly) c.5369A>G C-terminus missense 1 14 9 3 p.(Tyr1795_Glu1796i c.5385_5387du C-terminus nsAsp) pTGA in-frame insertion 23 134 62 49 SCN5A 49032 49033 47493 49034 49035 49036 49037 49038 49039 49040 49041 49042 49043 49044 49045 47494 47340 47342 47343 47472 47473 47474 47475 47495 49046 49047 49048 49049 49050 49051 49052 49053 49054 49055 49056 49057 59058 49059 49060 Supplemental Table 2. KCNH2 and SCN5A variants by location, type of variant and parental transmission: Genetic alterations of the amino acid sequence were characterized by location in the channel protein, by the type of variant (missense, splice site, in-frame insertions/deletions, nonsense, and frameshift). For KCNH2 variants, the nucleotide and amino acid designations were based on the reference sequences NM_000238.3 and NG_008916.1. Exons are numbered like in Splawski et al. 1998, Genomics 51, 86-97. KCNH2 variants were categorized by their location in the encoded channel as follows: variants in the transmembrane region, either in S1-S4 or in S5-pore-S6 defined as amino acid residues from 398 to 551 and 552 to 657; in the remaining N-terminus region, defined as amino acid residues before 398, and the C-terminus region, defined as after residue 657. For SCN5A variants, the nucleotide and amino acid designations were based on the SCN5A sequences NM_198056.2 and NG_008934.1. Exons are numbered like in Wang et al. 1996, Genomics 34:9-16. The variants were categorized by their location in the encoded channel as follows: variants in one of the four transmembrane domains, defined as amino acid residues from 127 to 415 (DI), 712 to 939 (DII), 1201 to 1470 (DIII) and 1524 to 1772 (D4); in the linkers between two domains; in the N-terminus region, defined as amino acid residues before 126, and the C-terminus region, defined as residues 1773 to 2016. Supplemental Table 3. The grandparental origin of KCNQ1 alleles in CEPH families Supplemental Table 3. The grandparental origin of KCNQ1 alleles in CEPH families: The transmission of the grandparental alleles to grandchildren was determined after studying the intragenic microsatellite D11S4088 if not available on the CEPH database, and D11S1318 when more informativity was required to trace the four grandparental alleles. ‘Other markers’ corresponds to additional intragenic markers (rs231352, rs86392 and rs1079714), or D11S4146 for one family. + : yes, - : no, GM: grandmother, GF: grandfather. Supplemental Table 4. The grandparental origin of KCNH2 alleles in CEPH families Supplemental Table 4. The grandparental origin of KCNH2 alleles in CEPH families: The transmission of the grandparental alleles to grandchildren was determined after haplotyping markers flanking KCNH2 gene and available on the CEPH database, especially D7S1805 or D7S1826, and we genotyped D7S2461 when more informativity was required to trace the four grandparental alleles. All the markers used were the following rs740136, rs757723, rs2040906, D7S1805, D7S1826 - KCNH2 - NOS3, D7S636, D7S642, D7S2461, rs875588, rs2014611, rs880310, rs38993. . + : yes, - : no, GM: grandmother, GF: grandfather. Supplemental Table 5. The grandparental origin of SCN5A alleles in CEPH families Supplemental Table 5. The grandparental origin of SCN5A alleles in CEPH families: The transmission of the grandparental alleles to grandchildren was determined after genotyping (D3S1260, D3S3521) and haplotyping several microsatellites flanking SCN5A (D3S3639, D3S1260 –SCN5A – D3S1000, D3S3521) (D3S1260, D3S3521) . . + : yes, - : no, GM: grandmother, GF: grandfather. Supplemental Table 6. Grandparental origin of KCNQ1 alleles in CEPH families Family number Sib number Maternal GM Maternal GF Paternal GM Paternal GF P value Naumova et al. 31 519 130 0.25 126 0.24 149 0.29 114 0.22 0.18 All sibs 43 712 182 0.26 179 0.25 193 0.27 158 0.22 0.30 Sibs with full informativity 40 688 177 0.26 167 0.24 189 0.27 155 0.23 0.30 Supplemental Table 6. Grandparental origin of KCNQ1 alleles in CEPH families: Grandparental origin of KCNQ1 alleles was determined as shown in Supplemental Figure 1. Are given the data and statistical analyses performed on the 31 families studied in Naumowa et al. 2001 report, on 43 families, and on 40 families after exclusion of three families since the origin of the four grandparental alleles could not be determined. P value when the ratio of each category could be assumed to 0.25 by Chi-square test (uniform distribution). Supplemental Table 7. Parental transmission of LQTS alleles according to LQTS genes, gender and countries Total France p value n (%) 248 164/84 93/47 71/37 (66) (66) (66) <0.0001 0.0001 0.0011 0.90 LQT2, total transmission Maternal/Paternal transmission to all probands Maternal/Paternal transmission to females Maternal/Paternal transmission to males Transmission between females and males 195 109/86 74/57 35/29 (56) (56) (55) 0.10 0.13 0.45 0.81 LQT3, total transmission Maternal/Paternal transmission to all probands Maternal/Paternal transmission to females Maternal/Paternal transmission to males Transmission between females and males 36 19/17 8/7 11/10 (53) (53) (52) 0.73 0.79 0.83 0.95 910 602/308 335/168 267/140 (66) (67) (66) <0.0001 <0.0001 <0.0001 0.75 763 428/335 247/182 181/153 (56) (58) (54) 0.0008 0.0017 0.12 0.35 Transmission to probands LQT1, total transmission Maternal/Paternal transmission to all probands Maternal/Paternal transmission to females Maternal/Paternal transmission to males Transmission between females and males Transmission to all carriers LQT1, total transmission Maternal/Paternal transmission to all carriers Maternal/Paternal transmission to females Maternal/Paternal transmission to males Transmission between female and male carriers LQT2, total transmission Maternal/Paternal transmission to all carriers Maternal/Paternal transmission to females Maternal/Paternal transmission to males Transmission between female and male carriers Germany p value n (%) 93 65/28 29/15 36/13 (71) (66) (73) <0.0001 0.034 0.0010 0.42 40 20/20 16/11 4/9 (50) (59) (31) 1 0.33 0.26 0.18 (100) (100) (100) NA NA NA NA 394 255/139 139/75 116/64 (65) (65) (64) <0.0001 <0.0001 =0.0001 0.91 194 119/75 68/38 51/37 (61) (64) (58) 0.0016 0.0036 0.13 0.37 5 5/0 1/0 4/0 p value n (%) 47 32/15 16/7 16/8 (68) (70) (67) 0.013 0.06 0.10 1 43 28/15 19/11 9/4 (65) (63) (69) 0.047 0.14 0.16 1 6 4/2 3/1 1/1 (67) (75) (50) NA NA NA NA 207 149/58 79/31 70/27 (72) (72) (72) <0.0001 <0.0001 <0.0001 0.95 210 112/98 71/46 41/52 (53) (61) (44) 0.33 0.021 0.25 0.017 Netherlands p n (%) value 16 11/5 8/2 3/3 (69) (80) (50) 0.21 0.10 1 0.29 22 12/10 8/6 4/4 (55) (57) (50) 0.66 0.59 1 1 20 9/11 4/5 5/6 (45) (44) (45) 0.65 NA NA NA 107 62/45 37/21 25/24 (58) (64) (51) 0.10 0.036 0.88 0.18 182 91/91 49/54 42/37 (50) (48) (53) 1 0.62 0.57 0.45 Japan p value p value among countries n (%) 92 56/36 40/23 16/13 (61) (63) (55) 0.037 0.032 0.57 0.44 0.60 0.79 0.31 90 49/41 31/29 18/12 (54) (52) (60) 0.39 0.79 0.27 0.45 0.54 0.74 0.21 5 1/4 0/1 1/3 (20) ( 0) (25) NA NA NA NA 0.37 NA NA 202 136/66 80/41 56/25 (67) (66) (69) <0.0001 0.0004 0.0006 0.65 0.077 0.60 0.071 177 106/71 59/44 47/27 (60) (57) (64) 0.0085 0.13 0.020 0.40 0.085 0.087 0.073 LQT3, total transmission 219 19 19 167 14 Maternal/Paternal transmission to all carriers 125/94 (57) 0.036 14/5 (74) 0.06 14/5 (74) 0.06 92/75 (55) 0.18 5/9 (36) 0.42 0.070 Maternal/Paternal transmission to females 63/43 (59) 0.052 5/2 (71) 0.45 10/2 (83) 0.04 46/35 (57) 0.22 2/4 (33) 0.68 0.16 Maternal/Paternal transmission to males 62/51 (55) 0.30 9/3 (75) 0.14 4/3 (57) 1 46/40 (53) 0.51 3/5 (38) 0.72 0.40 Transmission between female and male carriers 0.58 NA NA NA NA p value when the ratio of each transmission could be assumed to 0.5. % = maternal transmission of all transmissions. NA = not available due to small numbers. Transmission ratio between females and males were compared and P values were given. Supplemental Table 8. Grandparental transmission in control and LQTS families Total alleles, n KCNQ1 All sibs CEPH LQT1 families female CEPH LQT1 families male CEPH LQT1 families KCNH2 All sibs CEPH LQT2 families female CEPH LQT2 families male CEPH LQT2 families Maternal Grandmother, Grandfather, n(%) n(%) Paternal Grandmother, Grandfather, n(%) n(%) p value(1) p value(2) 688 290 177 (26) 112 (39) 167 89 (24) (30) 189 52 (27) (18) 155 (23) 37 (13) 0.30 <0.0001 <0.0001 332 152 91 (27) 60 (39) 75 47 (23) (31) 88 32 (27) (21) 78 (23) 13 ( 9) 0.54 <0.0001 0.0001 356 138 86 (24) 52 (38) 92 42 (26) (30) 101 20 (28) (15) 77 (22) 24 (17) 0.32 0.0002 0.0011 670 242 174 (26) 84 (35) 161 62 (24) (26) 170 52 (25) (21) 165 (25) 44 (18) 0.90 0.0019 0.025 340 127 88 (26) 47 (37) 82 33 (24) (26) 89 29 (26) (23) 81 (24) 18 (14) 0.90 0.0036 0.036 330 115 86 (26) 37 (32) 79 29 (24) (25) 81 23 (25) (20) 84 (25) 26 (23) 0.95 0.28 0.52 SCN5A All sibs CEPH 546 133 (24) 140 (26) 146 (27) 127 (23) 0.68 0.25 LQT3 families 87 30 (34) 20 (23) 19 (22) 18 (21) 0.23 female CEPH 268 63 (24) 71 (26) 71 (26) 63 (24) 0.81 0.82 LQT3 families 37 11 (30) 9 (24) 8 (22) 9 (24) 0.93 male CEPH 278 70 (25) 69 (25) 75 (27) 64 (23) 0.83 0.31 LQT3 families 50 19 (38) 11 (22) 11 (22) 9 (18) 0.2 (1) p value when the ratio of each category could be assumed to 0.25 (uniform distribution). (2) p value between LQTS and CEPH. In this table, only grandparental control alleles for CEPH families in which the four grandparental alleles were traced were given. Nevertheless we found similar data when all the 2025 genotyped alleles were analyzed. . Supplemental Table 9. Clinical characteristics of Japanese LQT1 corresponding to parental gender symptomatic patients/available sibs (%) Patients with QTc >440ms/available sibs mean QTc ± SD (ms) maternal descendents paternal descendents p value 40/129 (31%) 112/126 (89%) 477±41 24/65 (37%) 48/59 (81%) 471±41 0.42 0.17 0.7 symptomatic patient = syncope, torsade de pointes, cardiac arrest or sudden death. Supplemental Table 10. Descendants in full genotyped families corresponding to each country Maternal transmission Paternal transmission carriers, n total female male noncarrier, n total female male LQT1 All France Germany Netherlands Japan 364 174 103 39 48 197 103 55 18 21 167 71 48 21 27 203 106 59 14 24 106 54 37 5 10 97 52 22 9 14 364/567 174/ 280 103/162 39/53 48/72 (64) (62) (64) (74) (67) LQT2 All France Germany Netherlands Japan 268 81 70 68 49 144 39 44 34 27 124 42 26 34 22 198 59 58 57 24 107 39 28 28 12 91 20 30 29 12 268/466 81/140 70/128 68/125 49/73 (58) (58) (55) (54) (67) carriers/total descendants (%) carriers, n total female male noncarrier, n total female male <0.0001 <0.0001 0.0005 0.0006 0.0047 175 94 28 33 20 96 52 15 16 13 79 42 13 17 7 158 89 21 28 20 68 35 13 14 6 90 54 8 14 14 175/333 94/183 28/49 33/61 20/40 0.0012 0.06 0.29 0.33 0.0034 198 44 67 62 25 91 19 27 33 12 107 25 40 29 13 140 45 45 37 13 65 19 20 19 7 75 26 25 18 6 198/338 44/89 67/112 62/99 25/38 p value(1) p value(1) p value(2) (53) (51) (57) (54) (50) 0.35 0.71 0.32 0.52 1. 0.0006 0.021 0.42 0.03 0.08 (59) (49) (60) (63) (66) 0.0016 0.92 0.038 0.012 0.052 0.76 0.21 0.42 0.22 0.89 (56) (100) (80) (55) NA 0.17 0.16 0.18 0.34 NA 0.86 0.15 0.1 0.32 NA carrier/total descendants (%) LQT3 All 92 45 47 68 32 36 92/160 (58) 0.0588 66 32 34 51 23 28 66/117 France 4 1 3 5 3 2 4/9 (44) 0.74 2 1 1 0 0 0 2/2 Germany 7 4 3 11 4 7 7/18 (39) 0.35 4 1 3 1 0 1 4/5 Netherlands 81 40 41 52 25 27 81/133 (61) 0.012 60 30 30 50 23 27 60/110 Japan 0 0 0 0 0 0 NA NA NA 0 0 0 0 0 0 NA (1) Chi-square test when compared with a carrier ratio assumed to be of 0.5. (2) Chi-square test when compared with carrier ratios in maternal transmission.