KCNA2
protein-codingpotassium voltage-gated channel subfamily A member 2, the group of Potassium voltage-gated channels
Gene summary
Potassium channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. Four sequence-related potassium channel genes - shaker, shaw, shab, and shal - have been identified in Drosophila, and each has been shown to have human homolog(s). This gene encodes a member of the potassium channel, voltage-gated, shaker-related subfamily. This member contains six membrane-spanning domains with a shaker-type repeat in the fourth segment. It belongs to the delayed rectifier class, members of which allow nerve cells to efficiently repolarize following an action potential. The coding region of this gene is intronless, and the gene is clustered with genes KCNA3 and KCNA10 on chromosome 1. [provided by RefSeq, Jul 2008]
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~111.6 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AD
Disease ID:MONDO:0018614
Submitter: Orphanet
Inheritance Pattern: AD
Disease ID:MONDO:0014607
Submitter: G2P
Inheritance Pattern: AD
Disease ID:MONDO:0014607
Submitter: PanelApp Australia
Inheritance Pattern: AD
Disease ID:MONDO:0100062
Submitter: ClinGen
KCNA2 was first reported in relation to autosomal dominant developmental and epileptic encephalopathy (DEE) in 2015 (Pena et al., 2015, PMID: 25477152). The gene encodes the voltage-gated "Shaker" potassium channel, which is a member of the Kv1 subfamily and assembles into homo- or hetero-tetrameric channels (PMID: 29050392). The mechanism for disease is heterozygous missense variants that may have either gain-of-function, loss-of-function, or mixed effect on the potassium channel activity as measured by patch clamp recording in Xenopus laevis oocytes, or heterozygous truncating variants resulting in loss of channel function (PMID: 29050392, 25751627). The clinical presentation is variable but typically includes infantile-onset generalized and/or focal seizures associated with developmental delay, intellectual disability, and evidence of cerebellar dysfunction such as ataxia and dysarthria (Doering et al., 2021, PMID: 33802230; Masnada et al., PMID: 29050392). Of note, this gene has also been implicated in autosomal dominant complicated hereditary spastic paraplegia, which is not assessed in this curation since these individuals did not have epilepsy (Helbig et al., 2016, PMID: 27543892 ; Manole et al., 2017 PMID: 28032718; ). Included in this curation are 10 missense or nonsense variants have been reported in 17 probands from 8 publications (PMIDs: 31054490, 29050392, 27733563, 27117551, 27062609, 26648591, 25477152, 25751627). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. Nearly all probands included in the curation have confirmed or assumed de novo variants. There are three recurrent de novo variants (c.890G>A (p.Arg297Gln), c.1214C>T (p.Pro405Leu), c.1120A>G (p.Thr374Ala)) that account for ~2/3 of all reported patients (PMID: 29050392). This gene-disease association is also supported by experimental evidence including biochemical function indicating a role for Kv1.2 channels in the regulation of state transitions and repetitive discharge in medium spiny neurons (PMID: 13679409) and in expression data indicating the variant is widely expressed in the CNS, including in glutamergic pyramidal cells, GABAergic interneurons, and juxtaparanodal axons, and there is co-expression with Kv1.1, which is encoded by KCNA1 (PMID: 19118165). In summary, KCNA2 is definitively associated with autosomal dominant DEE. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time.
Inheritance Pattern: AD
Disease ID:MONDO:0014607
Submitter: Labcorp Genetics (formerly Invitae)
Clinical Genomic Database (CGD)
Manifestation: Neurologic
Intervention: General
Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing
Comments: As with other forms of epilepsy, optimal seizure control is advantageous, and genetic diagnosis may aid with medication selection
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to KCNA2 variants in ClinVar
ClinVar Variants & Pathogenicity by Type
Statistics based on transcript NM_004974.4. Only rare variants are included.
We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.
Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 1 | 142 | 143 | |||
| missense | 17 | 43 | 272 | 18 | 350 | |
| nonsense | 4 | 3 | 8 | 15 | ||
| start loss | 0 | |||||
| frameshift | 3 | 4 | 19 | 26 | ||
| splice donor/acceptor (+/-2bp) | 0 | |||||
| Total | 24 | 50 | 300 | 160 | 0 | 534 |
Highest pathogenic variant AF is 0.0000047883746
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_004965.1 | 1 | MANE Select | |
| Ensembl | ENSP00000314520.4 | 1 | MANE Select | |
| RefSeq | NP_001191198.1 | 3 | Standard | |
| Ensembl | ENSP00000358785.3 | 3 | Standard |
Model Organisms & Knockout Phenotypes
Observed phenotypic effects in mouse and zebrafish models
| Gene / Model | Organism | Observed Phenotype |
|---|---|---|
| kcna2a | Danio rerio | Structure: locomotion Quality: process quality abnormal |
Gene Ontology (GO) Annotations & Pathways
Biological processes, molecular functions, cellular components and pathways
Pathways ConsensusPathDB
- Neuronal System
- Voltage gated Potassium channels
- Potassium Channels
Biological Process
- potassium ion transport
- regulation of dopamine secretion
- neuronal action potential
- sensory perception of pain
- optic nerve structural organization
Molecular Function
- voltage-gated potassium channel activity
- delayed rectifier potassium channel activity
- potassium channel activity
- protein binding
- outward rectifier potassium channel activity
Cellular Component
- endoplasmic reticulum membrane
- plasma membrane
- integral component of plasma membrane
- voltage-gated potassium channel complex
- integral component of membrane
gnomAD Constraint
Source:
- Gene type
- protein_coding
- Transcript type
- protein_coding
- Transcript
- ENST00000485317
- Coding exons
- 1
- Length
- 37895
- Individuals with no LoFs
- 125743
- Homozygous LoFs
- 0
- Heterozygous LoFs
- 5
- Defined
- 125748
- p
- 0.0000199
| Z-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | 3.83 | 99 | 279 | 0.355 | 0.0000152 | 3300 |
| Missense (PolyPhen) | 35 | 151.91 | 0.23041 | 1835 | ||
| Synonymous | -0.0350 | 109 | 109 | 1.00 | 0.00000579 | 988 |
| Loss of Function | 3.32 | 2 | 16.6 | 0.121 | 0.00000115 | 176 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0.00012 | 0.00012 | rare |
| Latino/Admixed American | 0.000029 | 0.000029 | rare |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0 | 0.0 | absent |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.0000088 | 0.0000088 | rare |
| South Asian | 0.000033 | 0.000033 | rare |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- Function
- FUNCTION: Voltage-gated potassium channel that mediates transmembrane potassium transport in excitable membranes, primarily in the brain and the central nervous system, but also in the cardiovascular system. Prevents aberrant action potential firing and regulates neuronal output. Forms tetrameric potassium- selective channels through which potassium ions pass in accordance with their electrochemical gradient. The channel alternates between opened and closed conformations in response to the voltage difference across the membrane (PubMed:19912772, PubMed:8495559, PubMed:11211111, PubMed:23769686). Can form functional homotetrameric channels and heterotetrameric channels that contain variable proportions of KCNA1, KCNA2, KCNA4, KCNA5, KCNA6, KCNA7, and possibly other family members as well; channel properties depend on the type of alpha subunits that are part of the channel (PubMed:8495559, PubMed:20220134). Channel properties are modulated by cytoplasmic beta subunits that regulate the subcellular location of the alpha subunits and promote rapid inactivation of delayed rectifier potassium channels. In vivo, membranes probably contain a mixture of heteromeric potassium channel complexes, making it difficult to assign currents observed in intact tissues to any particular potassium channel family member. Homotetrameric KCNA2 forms a delayed-rectifier potassium channel that opens in response to membrane depolarization, followed by slow spontaneous channel closure (PubMed:19912772, PubMed:23769686). In contrast, a heteromultimer formed by KCNA2 and KCNA4 shows rapid inactivation (PubMed:8495559). Regulates neuronal excitability and plays a role as pacemaker in the regulation of neuronal action potentials (By similarity). KCNA2- containing channels play a presynaptic role and prevent hyperexcitability and aberrant action potential firing (By similarity). Response to toxins that are selective for KCNA2- containing potassium channels suggests that in Purkinje cells, dendritic subthreshold KCNA2-containing potassium channels prevent random spontaneous calcium spikes, suppressing dendritic hyperexcitability without hindering the generation of somatic action potentials, and thereby play an important role in motor coordination (By similarity). Plays a role in the induction of long-term potentiation of neuron excitability in the CA3 layer of the hippocampus (By similarity). May function as down-stream effector for G protein-coupled receptors and inhibit GABAergic inputs to basolateral amygdala neurons (By similarity). May contribute to the regulation of neurotransmitter release, such as gamma-aminobutyric acid (GABA) (By similarity). Contributes to the regulation of the axonal release of the neurotransmitter dopamine (By similarity). Reduced KCNA2 expression plays a role in the perception of neuropathic pain after peripheral nerve injury, but not acute pain (By similarity). Plays a role in the regulation of the time spent in non-rapid eye movement (NREM) sleep (By similarity). {ECO:0000250|UniProtKB:P63141, ECO:0000250|UniProtKB:P63142, ECO:0000269|PubMed:11211111, ECO:0000269|PubMed:19912772, ECO:0000269|PubMed:20220134, ECO:0000269|PubMed:23769686, ECO:0000269|PubMed:8495559, ECO:0000305}.;
- Disease
- DISEASE: Epileptic encephalopathy, early infantile, 32 (EIEE32) [MIM:616366]: A form of epileptic encephalopathy, a heterogeneous group of severe childhood onset epilepsies characterized by refractory seizures, neurodevelopmental impairment, and poor prognosis. Development is normal prior to seizure onset, after which cognitive and motor delays become apparent. {ECO:0000269|PubMed:25477152, ECO:0000269|PubMed:25751627}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Recessive Scores
- pRec
- 0.215
Intolerance Scores
- LoFtool
- 0.0272
- RVIS EVS
- -0.43
- RVIS percentile EVS
- 25.15
Essentials
- Essential (CRISPR)
- N
- Essential (CRISPR2)
- N
- Essential (gene trap)
- N
- Indispensability pred.
- E
- Indispensability score
- 0.844
Gene Damage Prediction
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Low | Low |
| Primary Immunodeficiency | Medium | Low | Medium |
| Cancer | Medium | Low | Medium |