Variant:
rs4148323 at chr2:234669144 in UGT1A1, UGT1A10, UGT1A3, UGT1A4, UGT1A5, UGT1A6, UGT1A7, UGT1A8, UGT1A9 (VIP)

Alleles (on + chromosomal strand)
G > A
Alternate Names:
UGT1A1*6, UGT1A1: G71R, UGT1A1:211G>A, UGT1A1:G211A, UGT1A1:Gly71Arg, c.211G>A, c.61-6536G>A, c.856-6536G>A, c.862-6536G>A, c.868-6536G>A, g.175755G>A, g.234333883G>A, g.5226G>A, g.615403G>A, p.Gly71Arg
Haplotypes
This variant is used to determine: UGT1A1*6a

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

VIP Variant in UGT1A1

UGT1A1:*6
Identified in 1998 by Akaba et al., the "211G>A" (numbered with the 'a' of the start codon as 1) exon 1 polymorphism (UGT1A1*6) is the most common UGT1A1 coding variant among Asian populations, with allele frequencies in the Japanese, Korean, and Chinese populations of 0.13, 0.23, and 0.23, respectively [Article:9784835]. The variant is virtually absent in Caucasian populations and populations of African origin [Article:10975608, 15572581]. The UGT1A1*28 promoter variant has a lower frequency in Asian populations, ranging from 0.07 in the Japanese to 0.143 in the Taiwanese [Article:9731723, 9929972, 9784835]. However, the high occurrence of hyperbilirubinemia, frequency of the UGT1A1*6 variant and its effect on UGT1A1 expression (in the homozygous state, 32% that of wildtype) [Article:9630669] implicate the role of this variant in Gilbert syndrome in Asian populations. The SN-38 (a metabolite of irinotecan) glucuronidation efficiency ratio of UGT1A1*6 was found to be 47% that of wildtype, indicating individuals with this variant may have a reduced capacity to metabolize SN-38 and may suffer from irinotecan toxicity [Article:12485959].

Key Publications:
Drugs / Other Molecules
Chemical (1)
bilirubin 9 10
Diseases Gilbert's syndrome 11 12 13 Jaundice, Neonatal 14
Phenotype
Irinotecan toxicity 15 16

Appendix

gp position: chr2:234333883(hg18)
Genomic Variant & GenBank ID: 601898 G>A on NT_005120
mRNA Variant & GenBank ID: 226G>A on NM_000463
Protein Variant & GenBank ID: 71Gly>Arg on NP_000454

Connected Drugs

Connected Drug Classes

Connected Diseases

Publications related to rs4148323 at chr2:234669144: 10

No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Racial variability in haplotype frequencies of UGT1A1 and glucuronidation activity of a novel single nucleotide polymorphism 686C> T (P229L) found in an African-American. Drug metabolism and disposition: the biological fate of chemicals. 2005. Kaniwa Nahoko, et al. [Article:15572581@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
UGT1A1 haplotypes associated with reduced glucuronidation and increased serum bilirubin in irinotecan-administered Japanese patients with cancer. Clinical pharmacology and therapeutics. 2004. Sai Kimie, et al. [Article:15179405@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Glucuronidation of 7-ethyl-10-hydroxycamptothecin (SN-38), an active metabolite of irinotecan (CPT-11), by human UGT1A1 variants, G71R, P229Q, and Y486D. Drug metabolism and disposition: the biological fate of chemicals. 2003. Jinno Hideto, et al. [Article:12485959@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Common human UGT1A polymorphisms and the altered metabolism of irinotecan active metabolite 7-ethyl-10-hydroxycamptothecin (SN-38). Molecular pharmacology. 2002. Gagné Jean-François, et al. [Article:12181437@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Polymorphisms of UDP-glucuronosyltransferase gene and irinotecan toxicity: a pharmacogenetic analysis. Cancer research. 2000. Ando Y, et al. [Article:11156391@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Variations of the bilirubin uridine-diphosphoglucuronosyl transferase 1A1 gene in healthy Taiwanese. Pharmacogenetics. 2000. Huang C S, et al. [Article:10975608@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Neonatal hyperbilirubinemia and a common mutation of the bilirubin uridine diphosphate-glucuronosyltransferase gene in Japanese. Journal of human genetics. 1999. Akaba K, et al. [Article:9929972@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Neonatal hyperbilirubinemia and mutation of the bilirubin uridine diphosphate-glucuronosyltransferase gene: a common missense mutation among Japanese, Koreans and Chinese. Biochemistry and molecular biology international. 1998. Akaba K, et al. [Article:9784835@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Contribution of two missense mutations (G71R and Y486D) of the bilirubin UDP glycosyltransferase (UGT1A1) gene to phenotypes of Gilbert's syndrome and Crigler-Najjar syndrome type II. Biochimica et biophysica acta. 1998. Yamamoto K, et al. [Article:9630669@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
The UGT1A1*28 allele is relatively rare in a Japanese population. Pharmacogenetics. 1998. Ando Y, et al. [Article:9731723@PubMed]

Cross-References

UCSC Golden Path:
chr2:234669144
dbSNP:
rs4148323
ALFRED:
SI000426M
HapMap:
rs4148323
JSNP:
ssj0003452

Platform Availability

  • Affymetrix
  • Illumina

Common Searches

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