KCNH8

Chr 3

potassium voltage-gated channel subfamily H member 8

Also known as: ELK, ELK1, Kv12.1, elk3, hElk-1

KCNH8 encodes a pore-forming subunit of a voltage-gated potassium channel that mediates slowly activating, non-inactivating outward potassium currents in response to membrane depolarization. Mutations cause epileptic encephalopathy with developmental delay and intellectual disability, following an autosomal dominant inheritance pattern. The condition typically presents in early childhood with seizures and neurodevelopmental impairment.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.67
Clinical SummaryKCNH8
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.67LOEUF
pLI 0.000
Z-score 3.51
OE 0.48 (0.350.67)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.20Z-score
OE missense 0.86 (0.800.93)
509 obs / 591.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.48 (0.350.67)
00.351.4
Missense OE0.86 (0.800.93)
00.61.4
Synonymous OE1.10
01.21.6
LoF obs/exp: 25 / 52.4Missense obs/exp: 509 / 591.2Syn Z: -1.14
DN
0.79top 25%
GOF
0.82top 10%
LOF
0.3067th %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

KCNH8 · 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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