Variant:
rs8175347 at chr2:234668881 in UGT1A1, UGT1A10, UGT1A3, UGT1A4, UGT1A5, UGT1A6, UGT1A7, UGT1A8, UGT1A9 (VIP)

Alleles (on + chromosomal strand)
(TA)5/6/7/8
Alternate Names:
7, 7-TA insertion in promoter, TA, UGT1A1*28, microsatellite, short tandem repeat

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 30 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 UGT1A1

UGT1A1*1
(TA)6 repeat (wildtype)

UGT1A1*28
Genomic Variant & GenBank ID: 601635 (TA)6TAA -> (TA)7TAA on NT_005120 (601635 T > TAT on NT_005120).
The UGT1A1*28 (TA)6 -> (TA)7 promoter variation is the most extensively studied variant of UGT1A1. Identified in 1995 by Bosma et al., the UGT1A1*28 results in a reduced level of UGT1A1 transcription as compared to the (TA)6 wildtype allele [Article:7565971]. The UGT1A1 promoter length is highly variable across populations, with the allele frequency of UGT1A1*28 from 0.09-0.16 in Asian populations, 0.26-0.31 in Caucasian populations and 0.42-0.56 in populations of African ancestry [Articles:10591539, 9653159]. The UGT1A1*28 variant forms the genetic basis of Gilbert syndrome, although its presence is required but not sufficient to manifest the mild unconjugated hyperbilirubinemia of the disorder [Articles:7565971, 8596320]. The UGT1A1*28 variant has also been associated with reduced glucuronidation of SN-38 (a metabolite of irinotecan) and severe toxicity with irinotecan treatment [Articles:9466980, 11156391, 11990381, 15297419] as well as hyperbilirubinemia with administration of tranilast [Article:14647407] and atazanavir [Article:16118329].

UGT1A1*36
Genomic Variant & GenBank ID: 601635 (TA)6TAA > (TA)5TAA on NT_005120 (601635 T> (-) or 601635delTA on NT_005120).
Described in 1998 (Di Rienzo et al., Clin Pharmacol Ther 63:207), UGT1A1*36 has been shown to result in increased transcriptional activity of UGT1A1 as compared to the (TA)6 wildtype (UGT1A1*1) [Articles:9653159, 10591539]. The UGT1A1*36 allele occurs almost exclusively in populations of African origin, with an estimated allele frequency of 0.03-0.10 [Articles:9653159, 10591539, 15388579].

UGT1A1*37
Genomic Variant & GenBank ID: 601635 (TA)6TAA -> (TA)8TAA on NT_005120 (601635 T>TATAT on NT_005120).
Described in 1998 (Di Rienzo et al., Clin Pharmacol Ther 63:207), UGT1A1*37 has been shown to result in decreased transcriptional activity of UGT1A1 as compared to the (TA)6 wildtype (UGT1A1*1) [Articles:9653159, 10091406]. The UGT1A1*37 allele occurs almost exclusively in populations of African origin, with an estimated allele frequency of 0.02-0.07 [Articles:9653159, 10591539, 15388579].

Key Publications:
Drugs / Other Molecules
Chemical (1)
bilirubin 9 10
Diseases Gilbert's syndrome 11 12 Hyperbilirubinemia 13 14 Jaundice, Neonatal 15
Phenotype
Irinotecan toxicity 16 17 18 19 20 Increased gene expression 21 Reduced gene expression 22 23
Phenotype Datasets Irinotecan Clinical Data

Appendix

gp position: chr2:234333620 (hg18)

Connected Drugs

Connected Drug Classes

Connected Diseases

Publications related to rs8175347 at chr2:234668881: 20

No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Pharmacogenetic Tailoring of Irinotecan-based First-line Chemotherapy in Metastatic Colorectal Cancer: Results of a Pilot Study. Anticancer research. 2011. Freyer Gilles, et al. [Article:21273624@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Gilbert's Syndrome and irinotecan toxicity: combination with UDP-glucuronosyltransferase 1A7 variants increases risk. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2008. Lankisch Tim O, et al. [Article:18349289@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Pharmacogenetic profiling in patients with advanced colorectal cancer treated with first-line FOLFIRI chemotherapy. The pharmacogenomics journal. 2008. Ruzzo A, et al. [Article:17549067@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
UGT1A1 promoter genotype correlates with SN-38 pharmacokinetics, but not severe toxicity in patients receiving low-dose irinotecan. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2007. Stewart Clinton F, et al. [Article:17577039@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
UGT1A1 variation and gallstone formation in sickle cell disease. Blood. 2005. Haverfield Eden V, et al. [Article:15388579@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
In vitro inhibition of UDP glucuronosyltransferases by atazanavir and other HIV protease inhibitors and the relationship of this property to in vivo bilirubin glucuronidation. Drug metabolism and disposition: the biological fate of chemicals. 2005. Zhang Donglu, et al. [Article:16118329@PubMed]
Relevance of different UGT1A1 polymorphisms in irinotecan-induced toxicity: a molecular and clinical study of 75 patients. Clinical cancer research : an official journal of the American Association for Cancer Research. 2004. Rouits Elisabeth, et al. [Article:15297419@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 VA No VIP available No VIP available
Pharmacogenetics of tipifarnib (R115777) transport and metabolism in cancer patients. Investigational new drugs. 2004. Sparreboom Alex, et al. [Article:15122075@PubMed]
Genetic variants in the UDP-glucuronosyltransferase 1A1 gene predict the risk of severe neutropenia of irinotecan. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2004. Innocenti Federico, et al. [Article:15007088@PubMed]
A Gilbert's syndrome UGT1A1 variant confers susceptibility to tranilast-induced hyperbilirubinemia. The pharmacogenomics journal. 2004. Danoff T M, et al. [Article:14647407@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Haplotype structure of the UDP-glucuronosyltransferase 1A1 promoter in different ethnic groups. Pharmacogenetics. 2002. Innocenti Federico, et al. [Article:12464801@PubMed]
UGT1A1*28 polymorphism as a determinant of irinotecan disposition and toxicity. The pharmacogenomics journal. 2002. Iyer L, et al. [Article:11990381@PubMed]
Polymorphisms of UDP-glucuronosyltransferase gene and irinotecan toxicity: a pharmacogenetic analysis. Cancer research. 2000. Ando Y, et al. [Article:11156391@PubMed]
(TA)8 allele in the UGT1A1 gene promoter of a Caucasian with Gilbert's syndrome. Haematologica. 1999. Iolascon A, et al. [Article:10091406@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Variability at the uridine diphosphate glucuronosyltransferase 1A1 promoter in human populations and primates. Pharmacogenetics. 1999. Hall D, et al. [Article:10591539@PubMed]
Racial variability in the UDP-glucuronosyltransferase 1 (UGT1A1) promoter: a balanced polymorphism for regulation of bilirubin metabolism?. Proceedings of the National Academy of Sciences of the United States of America. 1998. Beutler E, et al. [Article:9653159@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Genetic predisposition to the metabolism of irinotecan (CPT-11). Role of uridine diphosphate glucuronosyltransferase isoform 1A1 in the glucuronidation of its active metabolite (SN-38) in human liver microsomes. The Journal of clinical investigation. 1998. Iyer L, et al. [Article:9466980@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Genetic variation in bilirubin UPD-glucuronosyltransferase gene promoter and Gilbert's syndrome. Lancet. 1996. Monaghan G, et al. [Article:8596320@PubMed]
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert's syndrome. The New England journal of medicine. 1995. Bosma P J, et al. [Article:7565971@PubMed]

Cross-References

UCSC Golden Path:
chr2:234668881
dbSNP:
rs8175347

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