Variant:
rs1057910 at chr10:96741053 in CYP2C9 (VIP)

Alleles (on + chromosomal strand)
A > T
A > C
A > G
Amino Acid Translation
Ile359Leu
Alternate Names:
CYP2C9*3, CYP2C9*3:Ile359Leu, CYP2C9: I359L, CYP2C9:359Ile>Leu, CYP2C9:Ile359Leu, c.1075A>C, g.47545517A>C, g.47639A>C, g.96731043A>C, mRNA 11A>C, p.Ile359Leu
Haplotypes
This variant is used to determine: CYP2C9*3, CYP2C9*18

Clinical Annotations

To see the clinical annotation for this variant please register or sign in.

Variant Annotations

PharmGKB variant annotations provide information about variant-drug pairs based on individual PubMed publications. Each annotation represents information from a single paper and the goal is to report the information that the author states, not an interpretation of the paper. The PMID for supporting PubMed publications is found in the "Evidence" field.

Information presented, including study size, allele frequencies and statistics is taken directly from the publication. However, if the author does not correct p-values in cases of multiple hypotheses, curators may apply a Bonferroni correction. Curators attempt to report study size based on the actual number of participants used for the calculation of the association statistics, so the number may vary slightly from what is reported in the abstract of the paper. OMB Race Category information is derived from the paper and mapped to standardized categories. Category definitions may be found by clicking on the "OMB Race Category" link.

There are 42 annotations for this variant. Register or sign in to see them.

There are 2 disease-related annotations for this variant. Register or sign in to see them.

VIP Variant in CYP2C9

The variant at this position is the defining allele for the CYP2C9*3 haplotype. Other variant positions delineate between haplotypes in the *3 series (see http://www.imm.ki.se/CYPalleles for defining website), but a C allele at this position defines a CYP2C9*3 haplotype. For further information about the CYP2C9*3 haplotype see the Haplotype page.

The catalytic activity of the *3 haplotype is significantly reduced for most CYP2C9 substrates because of both an increase in Km and a reduction in Vmax [Articles:11927841, 15637526, 14597963].
Leu/Leu homozygotes have lower metabolic activity for CYP2C9 substrates in general, including tolbutamide and phenytoin [Article:10761997]. However, much of the supporting data are from in-vitro studies and homozygous individuals are rare [Article:19082874]. In other studies, it has been found that heterozygotes have about half the clearance as wild-type, for the following drugs: S-warfarin, tolbutamide, fluvastatin, glimepiride, tenoxicam, candesartan, celecoxib, phenytoin [Article:15637526].
The clearance of S-ibuprofen is reduced in CYP2C9*3/*3 homozygotes compared with wild-type homogozygotes [Article:15289789]. In in-vivo studies, the CYP2C9*3 haplotype in heterozygote subjects has been associated with a lower clearance and longer half-life of flurbiprofen [Article:12698304].

PopulationN subjectsAllele Frequency of "C"PMID
Chinese (Shanghai)3940.036[Article:12803577]
Korean574 0.011[Article:11298075]
Japanese1470.007[Article:16111713]
Japanese1400.054[Article:9631918]
Japanese640.016[Article:16424822]
Vietnamese (Kinh)1570.022[Article:15795654]
Iranian2000.000[Article:17201743]
Turkish4990.100[Article:10510154]
Ashekenazi Jew1000.080[Article:16111713]
Yemenite Jew990.081[Article:16111713]
Moroccan Jew1000.115[Article:16111713]
Libyan Jew890.174[Article:16111713]
Egyptian2470.060[Article:12047484]
Ethiopian1500.020[Article:11678789]
African-American660.008[Article:16424822]
Caucasian1150.109[Article:16424822]
Russian2900.067[Article:12879168]
Croatian2000.095[Article:12950145]
French Caucasians1510.080[Article:12803577]
German1180.050[Article:12445031]
Swedish4300.074[Article:9920790]
Spanish1570.162[Article:11372590]
Italian1570.090[Article:11678789]
Key Publications:
Drugs / Other Molecules
Phenotype Datasets CYP2C9 Variants and Flurbiprofen Metabolism
CYP2C9 Variants and Naproxen Metabolism
CYP2C9 Variants and Piroxicam Metabolism
Effects of Dapsone on CYP2C9 Variants and Flurbiprofen Metabolism
Effects of Dapsone on CYP2C9 Variants and Naproxen Metabolism
Hot flashes in tamoxifen patients
Lipid measurements in tamoxifen study - set 2
Meperidine N-demethylation by human CYP450 isoforms
Patient responses to tamoxifen
Thyroid binding globulin in tamoxifen patients
WUSTL warfarin dosing data, group A

Appendix

CYP2C9: 359Ile>Leu

Genomic Variant & GenBank ID: 15489579 A>C on NT_030059
mRNA Variant & GenBank ID: 1075 A>C on NM_000771
Protein Variant & GenBank ID: 359Ile>Leu on NP_000762
Key Haplotypes: CYP2C9*3
gp Position chr10:96731043(hg18)

Connected Drugs

Connected Drug Classes

Connected Diseases

Publications related to rs1057910 at chr10:96741053: 36

No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Genetic polymorphisms are associated with variations in warfarin maintenance dose in Han Chinese patients with venous thromboembolism. Pharmacogenomics. 2012. Zhang Wei, et al. [Article:22248286@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Contribution of VKORC1 and CYP2C9 polymorphisms in the interethnic variability of warfarin dose in Malaysian populations. Annals of hematology. 2011. Gan Gin Gin, et al. [Article:21110192@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
CYP2C9 polymorphism in patients with epilepsy: genotypic frequency analyzes andphenytoin adverse reactions correlation. Arquivos de neuro-psiquiatria. 2011. Twardowschy Carlos Alexandre, et al. [Article:21537551@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of CYP2C9 and VKORC1 polymorphisms on warfarin and acenocoumarol in a sample of Lebanese people. Journal of clinical pharmacology. 2011. Esmerian Maria O, et al. [Article:21148049@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Translational aspects of genetic factors in the prediction of drug response variability: a case study of warfarin pharmacogenomics in a multi-ethnic cohort from Asia. The pharmacogenomics journal. 2011. Chan S L, et al. [Article:21383771@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
In pediatric patients, age has more impact on dosing of vitamin K antagonists than VKORC1 or CYP2C9 genotypes. Blood. 2010. Nowak-Göttl Ulrike, et al. [Article:20833980@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
The influence of cytochrome oxidase CYP2A6, CYP2B6, and CYP2C9 polymorphisms on the plasma concentrations of valproic acid in epileptic patients. Clinical neurology and neurosurgery. 2010. Tan Lan, et al. [Article:20089352@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Genetic factors (VKORC1, CYP2C9, EPHX1, and CYP4F2) are predictor variables for warfarin response in very elderly, frail inpatients. Clinical pharmacology and therapeutics. 2010. Pautas E, et al. [Article:19794411@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Loss-of-function CYP2C9 variants improve therapeutic response to sulfonylureas in type 2 diabetes: a Go-DARTS study. Clinical pharmacology and therapeutics. 2010. Zhou K, et al. [Article:19794412@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Effect of CYP2C9 polymorphisms on prescribed dose and time-to-stable dose of sulfonylureas in primary care patients with Type 2 diabetes mellitus. Pharmacogenomics. 2010. Swen Jesse J, et al. [Article:21121772@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Impact of CYP2C8 and 2C9 polymorphisms on coronary artery disease and myocardial infarction in the LURIC cohort. Pharmacogenomics. 2010. Haschke-Becher Elisabeth, et al. [Article:21047199@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of CYP2C9 genetic polymorphism and undernourishment on plasma-free phenytoin concentrations in epileptic patients. Therapeutic drug monitoring. 2010. Ramasamy Kesavan, et al. [Article:21068649@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of CYP2C9 polymorphism on metabolism of valproate and its hepatotoxin metabolite in Iranian patients. Toxicology mechanisms and methods. 2010. Amini-Shirazi Noushin, et al. [Article:20602621@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Cytochrome P450 2C9 variants influence response to celecoxib for prevention of colorectal adenoma. Gastroenterology. 2009. Chan Andrew T, et al. [Article:19233181@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
CYP2C9, CYP2C19, and ABCB1 genotype and hospitalization for phenytoin toxicity. Journal of clinical pharmacology. 2009. Hennessy Sean, et al. [Article:19617466@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
A genome-wide association study confirms VKORC1, CYP2C9, and CYP4F2 as principal genetic determinants of warfarin dose. PLoS genetics. 2009. Takeuchi Fumihiko, et al. [Article:19300499@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Estimation of the warfarin dose with clinical and pharmacogenetic data. The New England journal of medicine. 2009. International Warfarin Pharmacogenetics Consortium, et al. [Article:19228618@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Use of pharmacogenetic and clinical factors to predict the therapeutic dose of warfarin. Clinical pharmacology and therapeutics. 2008. Gage B F, et al. [Article:18305455@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Genetic susceptibility to nonsteroidal anti-inflammatory drug-related gastroduodenal bleeding: role of cytochrome P450 2C9 polymorphisms. Gastroenterology. 2007. Pilotto Alberto, et al. [Article:17681167@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Paradoxical urinary phenytoin metabolite (S)/(R) ratios in CYP2C19*1/*2 patients. Epilepsy research. 2006. Argikar Upendra A, et al. [Article:16815679@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Association of VKORC1 and CYP2C9 polymorphisms with warfarin dose requirements in Japanese patients. Journal of human genetics. 2006. Mushiroda Taisei, et al. [Article:16432637@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Genotypes of the cytochrome p450 isoform, CYP2C9, and the vitamin K epoxide reductase complex subunit 1 conjointly determine stable warfarin dose: a prospective study. Journal of thrombosis and thrombolysis. 2006. Carlquist John F, et al. [Article:17111199@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Cytochrome P450 2C9 genotype: impact on celecoxib safety and pharmacokinetics in a pediatric patient. Clinical pharmacology and therapeutics. 2005. Stempak Diana, et al. [Article:16153401@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Genetic predictors of the maximum doses patients receive during clinical use of the anti-epileptic drugs carbamazepine and phenytoin. Proceedings of the National Academy of Sciences of the United States of America. 2005. Tate Sarah K, et al. [Article:15805193@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Genetic predisposition to acute gastrointestinal bleeding after NSAIDs use. British journal of pharmacology. 2004. Martínez Carmen, et al. [Article:14707031@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Pharmacogenetics of acenocoumarol pharmacodynamics. Clinical pharmacology and therapeutics. 2004. Morin Sandrine, et al. [Article:15116053@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of CYP2C9 genetic polymorphisms on pharmacokinetics of celecoxib and its metabolites. Pharmacogenetics. 2003. Kirchheiner Julia, et al. [Article:12893985@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of CYP2C9 genotypes on the formation of a hepatotoxic metabolite of valproic acid in human liver microsomes. The pharmacogenomics journal. 2003. Ho P C, et al. [Article:14597963@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Pharmacokinetics of losartan and its metabolite E-3174 in relation to the CYP2C9 genotype. Clinical pharmacology and therapeutics. 2002. Yasar Umit, et al. [Article:11823761@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Role of CYP2C9 polymorphism in losartan oxidation. Drug metabolism and disposition: the biological fate of chemicals. 2001. Yasar U, et al. [Article:11408373@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Early acenocoumarol overanticoagulation among cytochrome P450 2C9 poor metabolizers. Pharmacogenetics. 2001. Verstuyft C, et al. [Article:11692083@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
In-vitro metabolism of celecoxib, a cyclooxygenase-2 inhibitor, by allelic variant forms of human liver microsomal cytochrome P450 2C9: correlation with CYP2C9 genotype and in-vivo pharmacokinetics. Pharmacogenetics. 2001. Tang C, et al. [Article:11337938@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Phenytoin metabolism by human cytochrome P450: involvement of P450 3A and 2C forms in secondary metabolism and drug-protein adduct formation. Drug metabolism and disposition: the biological fate of chemicals. 2000. Cuttle L, et al. [Article:10901705@PubMed]
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Genetic modulation of oral anticoagulation with warfarin. Thrombosis and haemostasis. 2000. Margaglione M, et al. [Article:11127854@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Association of polymorphisms in the cytochrome P450 CYP2C9 with warfarin dose requirement and risk of bleeding complications. Lancet. 1999. Aithal G P, et al. [Article:10073515@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
The role of the CYP2C9-Leu359 allelic variant in the tolbutamide polymorphism. Pharmacogenetics. 1996. Sullivan-Klose T H, et al. [Article:8873220@PubMed]

Cross-References

UCSC Golden Path:
chr10:96741053
dbSNP:
rs1057910
ALFRED:
SI000387S
HapMap:
rs1057910
LS-SNP:
rs1057910

Platform Availability

  • Illumina

Common Searches

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