KCNJ2

Chr 17AD

potassium inwardly rectifying channel subfamily J member 2

Also known as: ATFB9, HHBIRK1, HHIRK1, IRK1, KIR2.1, LQT7, SQT3

The protein is an inward-rectifier potassium channel that allows potassium to flow preferentially into cells and participates in establishing action potential waveform and excitability of neuronal and muscle tissues. Mutations cause autosomal dominant Andersen syndrome characterized by periodic paralysis, cardiac arrhythmias, and dysmorphic features, as well as familial atrial fibrillation and short QT syndrome. The predicted mechanism is gain-of-function.

Summary from RefSeq, OMIM, UniProt, Mechanism
Research Assistant →

Primary Disease Associations & Inheritance

Andersen syndromeMIM #170390
AD
Atrial fibrillation, familial, 9MIM #613980
AD
Short QT syndrome 3MIM #609622
AD
UniProtLong QT syndrome 7
0
Active trials
37
Pubs (1 yr)
188
P/LP submissions
66%
P/LP missense
0.61
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryKCNJ2
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Gene-Disease Validity (ClinGen)
congenital heart disease · UDNo Known Disease Relationship

No known disease relationship

4 total gene-disease associations curated

Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.24) despite low pLI — interpret in context.
📋
ClinVar Variants
74 unique Pathogenic / Likely Pathogenic· 279 VUS of 602 total submissions
📖
GeneReview available — KCNJ2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.61LOEUF
pLI 0.307
Z-score 2.51
OE 0.24 (0.110.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
2.75Z-score
OE missense 0.50 (0.430.58)
121 obs / 240.9 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.24 (0.110.61)
00.351.4
Missense OE0.50 (0.430.58)
00.61.4
Synonymous OE1.13
01.21.6
LoF obs/exp: 3 / 12.6Missense obs/exp: 121 / 240.9Syn Z: -0.95
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
limitedKCNJ2-related long QT syndromeOTHERAD
limitedKCNJ2-related catecholaminergic polymorphic ventricular tachycardiaOTHERAD
definitiveKCNJ2-related Andersen-related Tawil syndromeOTHERAD
moderateKCNJ2-related short QT syndromeOTHERAD
DN
0.7327th %ile
GOF
0.84top 5%
LOF
0.3066th %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 · 1 literature citation
DNprediction above median · 1 literature citation

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.

Literature Evidence

DNCharacterization of a novel, dominant negative KCNJ2 mutation associated with Andersen-Tawil syndrome.PMID:22186697
GOFA novel gain-of-function KCNJ2 mutation associated with short-QT syndrome impairs inward rectification of Kir2.1 currents.PMID:22155372

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

ClinVar Variant Classifications

602 submitted variants in ClinVar

Classification Summary

Pathogenic50
Likely Pathogenic24
VUS279
Likely Benign143
Benign26
Conflicting62
50
Pathogenic
24
Likely Pathogenic
279
VUS
143
Likely Benign
26
Benign
62
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
4
29
17
0
50
Likely Pathogenic
0
20
4
0
24
VUS
2
204
73
0
279
Likely Benign
0
3
13
127
143
Benign
0
1
23
2
26
Conflicting
62
Total6257130129584

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

KCNJ2 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗