KCNH5

Chr 14AD

potassium voltage-gated channel subfamily H member 5

Also known as: DEE112, EAG2, H-EAG2, Kv10.2, hEAG2

The protein is a voltage-gated potassium channel that functions as an outward-rectifying, noninactivating channel involved in regulating neurotransmitter release and neuronal excitability. Mutations cause developmental and epileptic encephalopathy 112 through an autosomal dominant inheritance pattern. The pathogenic mechanism involves gain-of-function effects that disrupt normal neuronal signaling.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
MultiplemechanismADLOEUF 0.441 OMIM phenotype
Clinical SummaryKCNH5
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Gene-Disease Validity (ClinGen)
infantile-onset epilepsy · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.27) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.44LOEUF
pLI 0.020
Z-score 4.47
OE 0.27 (0.170.44)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.51Z-score
OE missense 0.70 (0.640.76)
390 obs / 556.6 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.27 (0.170.44)
00.351.4
Missense OE0.70 (0.640.76)
00.61.4
Synonymous OE0.97
01.21.6
LoF obs/exp: 12 / 44.0Missense obs/exp: 390 / 556.6Syn Z: 0.33
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongKCNH5-related epilepsy and epileptic encephalopathyOTHERAD
DN
0.78top 25%
GOF
0.82top 10%
LOF
0.3355th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

KCNH5 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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