Variant:
rs28399499 at chr19:41518221 in CYP2A7P1, CYP2B6 (VIP)

Alleles (on + chromosomal strand)
T > C
Amino Acid Translation
Ile328Thr
Alternate Names:
CYP2B6: 983T>C, CYP2B6:Ile328Thr, I328T, c.983T>C, g.13786439T>C, g.214395T>C, g.26018T>C, p.Ile328Thr, part of CYP2B6*18
Haplotypes
This variant is used to determine: CYP2B6*16, CYP2B6*18

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 12 annotations for this variant. Register or sign in to see them.

There are 1 disease-related annotations for this variant. Register or sign in to see them.

VIP Variant in CYP2B6

The CYP2B6:983T>C variant was reported in a large screen of CYP gene polymorphisms by Solus et al., 2004 [Article:15469410]. It occurs with an allele frequency of 4-9% in Blacks and African Americans and was not observed in Asians and Caucasians [Article:16272958, 17235330, 17391322]. It was shown at low frequency (1.1%) in Hispanic Americans in one study [Article:17391322]. This variant is found in linkage with intronic variants 17897C>T, 18273G>A and 18627G>A and with Lys262Arg in the CYP2B6*16 allele but is the only protein coding change in the CYP2B6*18 allele. Expression of CYP2B6*18 in COS-1 cells resulted in no detectable protein (Klein et al., [Article:16272958]). Klein et al. also suggested that Ile328 resides within an alpha helix and the change in hydrophobicity from hydrophobic isoleucine to the polar but uncharged threonine may disrupt helix formation. Wang et al. found no change in catalytic activity of this variant with the substrate bupropion but observed much lower expression of the 983T>C variant (15-30% as compared to wild type [Article:16272958]). Wang et al. also showed that when expressed with the Lys262Arg (785A>G) variant, as the CYP2B6*16 allele, the expression was higher as compared to 983T>C alone [Article:16495778]. This residue is also highly conserved across alignments with other P450s [Article:16272958]. Presence of this allele is associated with high plasma drug concentrations in patients treated with efavirenz [Article:17235330, 18281305] and nevirapine [Article:18281305]. In a recent study the composite CYP2B6:516G>T/983T>C genotype was significantly associated with plasma drug exposure and clearance for efavirenz but not nevirapine [Article:19239339].

Key Publications:
Drugs / Other Molecules
Diseases HIV

Appendix

mRNA Variant & GenBank ID: 990T>C on NM_000767.4
Protein Variant & GenBank ID: Ile328Thr on NP_000758.1

Connected Drugs

Connected Diseases

Evidence Disease
HIV
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
HIV Infections

Publications related to rs28399499 at chr19:41518221: 14

No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Associations Between ABCB1, CYP2A6, CYP2B6, CYP2D6, and CYP3A5 Alleles in Relation to Efavirenz and Nevirapine Pharmacokinetics in HIV-Infected Individuals. Therapeutic drug monitoring. 2012. Heil Sandra G, et al. [Article:22354160@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Integration of population pharmacokinetics and pharmacogenetics: an aid to optimal nevirapine dose selection in HIV-infected individuals. The Journal of antimicrobial chemotherapy. 2011. Schipani Alessandro, et al. [Article:21441248@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Influence of host genetic factors on efavirenz plasma and intracellular pharmacokinetics in HIV-1-infected patients. Pharmacogenomics. 2010. Elens Laure, et al. [Article:20860463@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Nevirapine-induced hepatotoxicity and pharmacogenetics: a retrospective study in a population from Mozambique. Pharmacogenomics. 2010. Ciccacci Cinzia, et al. [Article:20017669@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
CYP2B6, CYP2A6 and UGT2B7 genetic polymorphisms are predictors of efavirenz mid-dose concentration in HIV-infected patients. AIDS (London, England). 2009. Kwara Awewura, et al. [Article:19779319@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
CYP2B6 (c.516G-->T) and CYP2A6 (*9B and/or *17) polymorphisms are independent predictors of efavirenz plasma concentrations in HIV-infected patients. British journal of clinical pharmacology. 2009. Kwara Awewura, et al. [Article:19371316@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Cytochrome P450 2B6 516G-->T is associated with plasma concentrations of nevirapine at both 200 mg twice daily and 400 mg once daily in an ethnically diverse population. HIV medicine. 2009. Mahungu Tw, et al. [Article:19228205@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Associations between CYP2B6 polymorphisms and pharmacokinetics after a single dose of nevirapine or efavirenz in African americans. The Journal of infectious diseases. 2009. Haas David W, et al. [Article:19239339@PubMed]
Impact of CYP2B6 983T>C polymorphism on non-nucleoside reverse transcriptase inhibitor plasma concentrations in HIV-infected patients. The Journal of antimicrobial chemotherapy. 2008. Wyen Christoph, et al. [Article:18281305@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
CYP2B6 983T>C polymorphism is prevalent in West Africa but absent in Papua New Guinea: implications for HIV/AIDS treatment. British journal of clinical pharmacology. 2007. Mehlotra Rajeev K, et al. [Article:17391322@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Predictive value of known and novel alleles of CYP2B6 for efavirenz plasma concentrations in HIV-infected individuals. Clinical pharmacology and therapeutics. 2007. Rotger M, et al. [Article:17235330@PubMed]
Identification of a novel specific CYP2B6 allele in Africans causing impaired metabolism of the HIV drug efavirenz. Pharmacogenetics and genomics. 2006. Wang Jue, et al. [Article:16495778@PubMed]
Genetic variability of CYP2B6 in populations of African and Asian origin: allele frequencies, novel functional variants, and possible implications for anti-HIV therapy with efavirenz. Pharmacogenetics and genomics. 2005. Klein Kathrin, et al. [Article:16272958@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Genetic variation in eleven phase I drug metabolism genes in an ethnically diverse population. Pharmacogenomics. 2004. Solus Joseph F, et al. [Article:15469410@PubMed]

Cross-References

UCSC Golden Path:
chr19:41518221
dbSNP:
rs28399499
HapMap:
rs28399499

Platform Availability

  • Illumina

Common Searches

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