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medRxiv PreprintsInternational12 November 2026

Nationwide Functional Profiling Enables Clinical Reclassification of KCNH2 Variants in the French LQT2 Population

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Background: The increasing use of genetic testing has identified thousands of KCNH2 variants associated with long QT syndrome type 2 (LQT2), yet most remain variants of uncertain significance (VUS). Translating functional abnormalities into clinically actionable evidence remains a major challenge. We established a nationwide functional genomics strategy to systematically characterize KCNH2 variants identified in the French LQT2 population and improve their clinical interpretation. Methods: We characterized 303 KCNH2 variants, including 201 VUS, using standardized high-throughput automated patc
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