KCNQ3

Chr 8AD

potassium voltage-gated channel subfamily Q member 3

Also known as: BFNC2, EBN2, KV7.3

The protein forms M-channels by associating with KCNQ2 or KCNQ5 to regulate neuronal excitability, with these channels being inhibited by muscarinic acetylcholine receptors and activated by retigabine. Mutations cause benign familial neonatal convulsions type 2 through an autosomal dominant inheritance pattern. The pathogenic mechanism involves gain-of-function mutations that alter normal channel function.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
MultiplemechanismADLOEUF 0.361 OMIM phenotype
VCEP Guidelines: KCNQ Brain DisordersIn Progress
ClinGen Panel
Clinical SummaryKCNQ3
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Gene-Disease Validity (ClinGen)
complex neurodevelopmental disorder · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

3 total gene-disease associations curated

Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.80) — some intolerance to loss-of-function variants.
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ClinVar Variants
39 unique Pathogenic / Likely Pathogenic· 282 VUS of 500 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
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GeneReview available — KCNQ3
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.36LOEUF
pLI 0.801
Z-score 4.74
OE 0.20 (0.120.36)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.07Z-score
OE missense 0.73 (0.670.80)
350 obs / 477.1 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.20 (0.120.36)
00.351.4
Missense OE0.73 (0.670.80)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 8 / 40.5Missense obs/exp: 350 / 477.1Syn Z: 0.41
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveKCNQ3-related syndromeOTHERAD
DN
0.7131th %ile
GOF
0.79top 25%
LOF
0.54top 25%

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function, dominant-negative and loss-of-function). 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
LOF26% of P/LP variants are LoF · LOEUF 0.36

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

DNPatch-clamp analysis revealed no current with the mutant homomer and reduced current with heterotetramer (KCNQ2WT/KCNQ2G281R/KCNQ3WT) channels, consistent with a dominant-negative effect.PMID:34519644
GOFAutism and developmental disability caused by KCNQ3 gain-of-function variants.PMID:31177578

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

500 submitted variants in ClinVar

Classification Summary

Pathogenic24
Likely Pathogenic15
VUS282
Likely Benign154
Benign3
Conflicting13
24
Pathogenic
15
Likely Pathogenic
282
VUS
154
Likely Benign
3
Benign
13
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
6
3
15
0
24
Likely Pathogenic
4
10
1
0
15
VUS
14
250
17
1
282
Likely Benign
0
4
61
89
154
Benign
0
0
3
0
3
Conflicting
13
Total242679790491

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

View in ClinVar →

Protein Context — Lollipop Plot

KCNQ3 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
Open Research Assistant →
Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 5 full-text resultsSearch PubTator3 ↗