KCNA2

protein-coding

potassium 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

NM_004974.4

Inheritance

AD

ClinVar variants

P:74U:300B:160

Top phenotype

Developmental and epileptic encephalopathy 32

gnomAD constraint

pLI —, LoF o/e 0.12

Max pathogenic AF

—

Genomic locus

chr1:110,519,837-110,631,474

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~111.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

undetermined early-onset epileptic encephalopathySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018614

Submitter: Orphanet

developmental and epileptic encephalopathy, 32DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014607

Submitter: G2P

developmental and epileptic encephalopathy, 32STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014607

Submitter: PanelApp Australia

genetic developmental and epileptic encephalopathyDEFINITIVE

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.

developmental and epileptic encephalopathy, 32STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014607

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Developmental and epileptic encephalopathy 32AD

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

Refs: 25477152; 25751627Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to KCNA2 variants in ClinVar

16 Conditions Cataloged
Developmental and epileptic encephalopathy, 32Total: 443
not providedTotal: 141
Inborn genetic diseasesTotal: 59
KCNA2-related disorderTotal: 23
not specifiedTotal: 17
SeizureTotal: 9
Neurodevelopmental disorderTotal: 2
EpilepsyTotal: 2

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.

EffectPLPVUSLBBSum
synonymous
1
clinvar
142
clinvar
143
missense
17
clinvar
43
clinvar
272
clinvar
18
clinvar
350
nonsense
4
clinvar
3
clinvar
8
clinvar
15
start loss
0
frameshift
3
clinvar
4
clinvar
19
clinvar
26
splice donor/acceptor (+/-2bp)
0
Total24503001600534

Highest pathogenic variant AF is 0.0000047883746

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 31 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_004974.4RefSeqNP_004965.11MANE Select
ENST00000316361.10EnsemblENSP00000314520.41MANE Select
NM_001204269.2RefSeqNP_001191198.13Standard
ENST00000369770.7EnsemblENSP00000358785.33Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
kcna2aDanio 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: gnomAD

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-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense3.83992790.3550.00001523300
Missense (PolyPhen)35151.910.230411835
Synonymous-0.03501091091.000.00000579988
Loss of Function3.32216.60.1210.00000115176

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.00000880.0000088rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

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

AllRecessiveDominant
MendelianMediumLowLow
Primary ImmunodeficiencyMediumLowMedium
CancerMediumLowMedium
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