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.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
MultiplemechanismADLOEUF 0.613 OMIM phenotypes
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.

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

0 submitted variants 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.

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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