KCNJ5

potassium inwardly rectifying channel subfamily J member 5, the group of Potassium inwardly rectifying channel subfamily J

Basic information

Region (hg38): 11:128891356-128921163

Links

ENSG00000120457NCBI:3762OMIM:600734HGNC:6266Uniprot:P48544AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • Andersen-Tawil syndrome (Supportive), mode of inheritance: AD
  • familial hyperaldosteronism type III (Supportive), mode of inheritance: AD
  • familial hyperaldosteronism type III (Strong), mode of inheritance: AD
  • long QT syndrome 13 (Limited), mode of inheritance: AD
  • long QT syndrome (Disputed Evidence), mode of inheritance: AD
  • long QT syndrome 13 (Limited), mode of inheritance: AD
  • familial hyperaldosteronism type III (Moderate), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Long QT syndrome 13; Hyperaldosteronism, familial, type IIIADCardiovascular; EndocrineIn Long QT syndrome, preventive measures and medical management may be helpful to help decrease morbidity; sudden death in infancy has been reported; In Hyperaldosteronism, familial, hypertension and aldosteronism are not reversed by administration of exogenous glucocorticoids and patients require adrenalectomyCardiovascular; Endocrine18505761; 20301308; 20560207; 21311022; 22447138; 22628607; 24574546

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the KCNJ5 gene.

  • Long_QT_syndrome (236 variants)
  • Cardiovascular_phenotype (220 variants)
  • Familial_hyperaldosteronism_type_III (91 variants)
  • not_provided (79 variants)
  • Long_QT_syndrome_13 (74 variants)
  • not_specified (24 variants)
  • KCNJ5-related_disorder (15 variants)
  • Congenital_long_QT_syndrome (10 variants)
  • Aldosterone-producing_adrenal_adenoma,_somatic (2 variants)
  • Hypertrophic_cardiomyopathy (2 variants)
  • Andersen_Tawil_syndrome (2 variants)
  • Familial_hyperaldosteronism (1 variants)
  • See_cases (1 variants)
  • Primary_dilated_cardiomyopathy (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the KCNJ5 gene is commonly pathogenic or not. These statistics are base on transcript: NM_000000890.5. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
4
clinvar
126
clinvar
130
missense
5
clinvar
3
clinvar
195
clinvar
26
clinvar
1
clinvar
230
nonsense
7
clinvar
1
clinvar
8
start loss
0
frameshift
8
clinvar
8
splice donor/acceptor (+/-2bp)
0
Total 5 3 214 153 1

Highest pathogenic variant AF is 0.000004800643

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
KCNJ5protein_codingprotein_codingENST00000529694 229680
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.0003360.8341257270211257480.0000835
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.331902490.7630.00001622777
Missense in Polyphen92124.850.736861338
Synonymous-0.38810499.11.050.00000663828
Loss of Function1.23711.50.6086.93e-7125

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.0002060.000206
Ashkenazi Jewish0.000.00
East Asian0.0001090.000109
Finnish0.00009330.0000924
European (Non-Finnish)0.00006160.0000615
Middle Eastern0.0001090.000109
South Asian0.0001310.000131
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: This potassium channel is controlled by G proteins. Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. Their voltage dependence is regulated by the concentration of extracellular potassium; as external potassium is raised, the voltage range of the channel opening shifts to more positive voltages. The inward rectification is mainly due to the blockage of outward current by internal magnesium. Can be blocked by external barium. {ECO:0000269|PubMed:22315453, ECO:0000269|PubMed:22628607, ECO:0000269|PubMed:24037882, ECO:0000269|PubMed:27099398, ECO:0000269|PubMed:27293068}.;
Disease
DISEASE: Hyperaldosteronism, familial, 3 (HALD3) [MIM:613677]: A form of hyperaldosteronism characterized by hypertension secondary to massive adrenal mineralocorticoid production. HALD3 patients present with childhood hypertension, elevated aldosteronism levels, and high levels of the hybrid steroids 18-oxocortisol and 18-hydroxycortisol. Hypertension and aldosteronism are not reversed by administration of exogenous glucocorticoids and patients require adrenalectomy to control hypertension. {ECO:0000269|PubMed:21311022, ECO:0000269|PubMed:22203740, ECO:0000269|PubMed:22275527, ECO:0000269|PubMed:22308486, ECO:0000269|PubMed:22315453, ECO:0000269|PubMed:22628607, ECO:0000269|PubMed:22848660, ECO:0000269|PubMed:24037882, ECO:0000269|PubMed:27099398}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Note=Somatic mutations in KCNJ5 have been found in aldosterone-producing adrenal adenomas and can be responsible for aldosteronism associated with cell autonomous proliferation. APAs are typically solitary, well circumscribed tumors diagnosed between ages 30 and 70. They come to medical attention due to new or worsening hypertension, often with hypokalemia. The precise role of KCNJ5 mutations in APA is under debate. They produce increased sodium conductance and cell depolarization, which in adrenal glomerulosa cells produces calcium entry, the signal for aldosterone production and cell proliferation. However, they may not be causative of APA development but may be a consequence of tumorigenesis, playing only a contributory role toward aldosterone overproduction and tumor growth (PubMed:22275527). Somatic mutations in KCNJ5 have not been found in non-aldosterone secreting adrenal adenomas suggesting that they are specifically associated with APA (PubMed:22275527 and PubMed:22848660). {ECO:0000269|PubMed:21311022, ECO:0000269|PubMed:22203740, ECO:0000269|PubMed:22275527, ECO:0000269|PubMed:22848660}.; DISEASE: Note=Mutations in KCNJ5 are involved in the pathogenesis of hypertension without primary aldosteronism but with increased aldosterone response to ACTH stimulation. {ECO:0000269|PubMed:27293068}.;
Pathway
Aldosterone synthesis and secretion - Homo sapiens (human);Oxytocin signaling pathway - Homo sapiens (human);Retrograde endocannabinoid signaling - Homo sapiens (human);Serotonergic synapse - Homo sapiens (human);Dopaminergic synapse - Homo sapiens (human);Circadian entrainment - Homo sapiens (human);Estrogen signaling pathway - Homo sapiens (human);Morphine addiction - Homo sapiens (human);Antiarrhythmic Pathway, Pharmacodynamics;Disopyramide Action Pathway;Procainamide (Antiarrhythmic) Action Pathway;Phenytoin (Antiarrhythmic) Action Pathway;Fosphenytoin (Antiarrhythmic) Action Pathway;Bopindolol Action Pathway;Timolol Action Pathway;Carteolol Action Pathway;Bevantolol Action Pathway;Practolol Action Pathway;Dobutamine Action Pathway;Isoprenaline Action Pathway;Arbutamine Action Pathway;Amiodarone Action Pathway;Levobunolol Action Pathway;Metipranolol Action Pathway;Mexiletine Action Pathway;Lidocaine (Antiarrhythmic) Action Pathway;Quinidine Action Pathway;Sotalol Action Pathway;Epinephrine Action Pathway;Betaxolol Action Pathway;Atenolol Action Pathway;Alprenolol Action Pathway;Acebutolol Action Pathway;Muscle/Heart Contraction;Diltiazem Action Pathway;Propranolol Action Pathway;Pindolol Action Pathway;Penbutolol Action Pathway;Oxprenolol Action Pathway;Metoprolol Action Pathway;Esmolol Action Pathway;Bisoprolol Action Pathway;Bupranolol Action Pathway;Nebivolol Action Pathway;Amlodipine Action Pathway;Verapamil Action Pathway;Nitrendipine Action Pathway;Nisoldipine Action Pathway;Nimodipine Action Pathway;Ibutilide Action Pathway;Tocainide Action Pathway;Flecainide Action Pathway;Isradipine Action Pathway;Nifedipine Action Pathway;Felodipine Action Pathway;Nadolol Action Pathway;Carvedilol Action Pathway;Labetalol Action Pathway;Notch Signaling Pathway;Notch Signaling Pathway;Calcium Regulation in the Cardiac Cell;Neuronal System;Inhibition of voltage gated Ca2+ channels via Gbeta/gamma subunits;Activation of GABAB receptors;GABA B receptor activation;GABA receptor activation;Neurotransmitter receptors and postsynaptic signal transmission;Transmission across Chemical Synapses;Activation of G protein gated Potassium channels;G protein gated Potassium channels;Inwardly rectifying K+ channels;Potassium Channels (Consensus)

Recessive Scores

pRec
0.167

Intolerance Scores

loftool
0.101
rvis_EVS
-0.53
rvis_percentile_EVS
20.7

Haploinsufficiency Scores

pHI
0.146
hipred
Y
hipred_score
0.651
ghis
0.585

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
N
gene_indispensability_score
0.372

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Kcnj5
Phenotype
cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan);

Gene ontology

Biological process
potassium ion transport;regulation of ion transmembrane transport;regulation of heart rate by cardiac conduction;membrane repolarization during atrial cardiac muscle cell action potential;membrane repolarization during ventricular cardiac muscle cell action potential;ventricular cardiac muscle cell membrane repolarization;potassium ion import across plasma membrane
Cellular component
plasma membrane;voltage-gated potassium channel complex;external side of plasma membrane;T-tubule
Molecular function
inward rectifier potassium channel activity;protein binding;G-protein activated inward rectifier potassium channel activity;voltage-gated potassium channel activity involved in atrial cardiac muscle cell action potential repolarization;voltage-gated potassium channel activity involved in ventricular cardiac muscle cell action potential repolarization