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Important Variant Information for HMGCR

Submitted by: Marisa Wong Medina(PARC)
Reviewed by: Issam Zineh(PEAR)
Submitted date: February 6, 2006

There are Two Important Variants for HMGCR

1. HMGCR:SNP 12(rs17244841)
2. HMGCR:SNP 29(rs17238540)


1. HMGCR: SNP 12 (rs17244841)

Gene HGNC Name: HMGCR
Variant Summary: Also known as SNP12, the estimated allele frequencies of this variant in the predominantly Caucasian PRINCE population (88.7%) are: A=0.965 and T=0.035. In a study of 1536 individuals, SNP12 was significantly associated with the mean change in both total and LDL-cholesterol. Heterozygous individuals had a 21.8% reduction in total cholesterol lowering and a 19.0% reduction in LDL-cholesterol lowering after pravastatin treatment as compared to individuals homozygous for the major (A) allele. There was no genotype effect on HDL-cholesterol changes. These effects remained significant after multiple testing, were not associated with baseline differences, and the LDL-cholesterol effect became stronger after ethnic stratification [PMID: 15199031].
Key PubMed IDs: 15199031
Genomic Variant & GenBank ID: 11898 A>T on AY321356
mRNA Variant & GenBank ID: Intronic SNP; no mRNA change
Protein Variant & GenBank ID: Intronic SNP; no protein change
dbSNP rs#: rs17244841
GoldenPath Position: Chr5: 74,678,611  (hg18)
Key Drugs/Substrates: Pravastatin [PMID: 15199031]
Key Phenotypes/Diseases: Attenuated cholesterol reduction with pravastatin treatment [PMID: 15199031]
DNA Source Containing
Homozygous Reference
Allele(Coriell Lines):
White (European):
PA126741408 (NA12547), PA126741328 (NA10845), PA126740852 (NA10853),
PA126743895 (NA10860), PA126743912 (NA10830), PA126740847 (NA10842),
PA126740850 (NA10851), PA126741308 (NA07349), PA126743882 (NA10857),
PA126743959 (NA10858), PA126743926 (NA10848), PA126741327 (NA10844),
PA126740853 (NA10854), PA126743896 (NA10861), PA126743913 (NA10831),
PA126743958 (NA10843), PA126740849 (NA10850), PA126743881 (NA10852),
PA126743853 (NA06990), PA126741276 (NA07019)
Black or African American (African American):
PA126746650 (NA17103), PA126746655 (NA17104), PA126746659 (NA17105),
PA126746664 (NA17106), PA126746666 (NA17107), PA126746675 (NA17110),
PA126746676 (NA17111), PA126746677 (NA17112), PA126746678 (NA17113),
PA126746689 (NA17114), PA126746700 (NA17116), PA126746722 (NA17133),
PA126746723 (NA17134), PA126746724 (NA17135), PA126746725 (NA17136),
PA126746726 (NA17137), PA126746727 (NA17138), PA126746728 (NA17139),
PA126746729 (NA17140)
DNA Source Containing
 Heterozygous
Reference
 Allele(Coriell Lines):
White (European):
PA126741307 (NA07348)
Black or African American (African American):
PA126746644 (NA17101), PA126746648 (NA17102), PA126746670 (NA17108)
Key Haplotypes: H7


2. HMGCR: SNP 29 (rs17238540)

Gene HGNC Name: HMGCR
Variant Summary: Also known as SNP29, the estimated allele frequencies of this variant in the predominantly Caucasian PRINCE population (88.7%) are: T=0.965 and G=0.035. The ACCESS trial reported a minor allele frequency of 0.0 in Asians (N=36), 0.085 in African Americans (N=160), 0.027 in Caucasians (2454) and 0.029 in Hispanics (N=85).

In the PRINCE study of 1536 individuals, SNP29 was significantly associated with the mean change in both total and LDL-cholesterol. Heterozygous individuals had a 22.3% reduction in total cholesterol lowering and a 19.0% reduction in LDL-cholesterol lowering after pravastatin treatment as compared to individuals homozygous for the major allele. There was no genotype effect on HDL-cholesterol changes. These effects remained significant after multiple testing, were not associated with baseline differences, and the LDL-cholesterol effect became stronger after ethnic stratification [PMID: 15199031].

The ACCESS trial was unable to validate the association between SNP29 and LDL-cholesterol lowering in 293 Caucasian individuals treated with pravastatin for 24-weeks. In addition, the trial included 1902 individuals were treated with atorvastatin, 477 individuals with fluvastatin, 476 individuals with lovastatin, and 468 individuals with simvastatin, and no other significant associations between SNP29 and statin efficacy were reported [PMID: 16103896].
Key PubMed IDs: 15199031, 16103896
Genomic Variant & GenBank ID: 24558 T>G on AY321356
mRNA Variant &
 GenBank ID:
Intronic SNP; no mRNA change
Protein Variant &
 GenBank ID:
Intronic SNP; no protein change
dbSNP rs#: rs17238540
GoldenPath Position: chr5:74,691,254  (hg18)
Key Drugs/Substrates: pravastatin [PMID: 15199031, 16103896], atorvastatin, fluvastatin, lovastatin and simvastatin[PMID: 16103896]
Key Phenotypes/Diseases: Attenuated cholesterol reduction with pravastatin treatment [PMID: 15199031]
DNA Source Containing
Homozygous Reference
Allele(Coriell Lines):
White (European):
PA126741408 (NA12547), PA126741328 (NA10845), PA126743895 (NA10860),
PA126743912 (NA10830), PA126740850 (NA10851), PA126741308 (NA07349),
PA126743959 (NA10858), PA126743926 (NA10848), PA126741409 (NA12548),
PA126741327 (NA10844), PA126740853 (NA10854), PA126743896 (NA10861),
PA126743913 (NA10831), PA126743958 (NA10843), PA126740849 (NA10850),
PA126743881 (NA10852), PA126743853 (NA06990), PA126741276 (NA07019)
Black or African American (African American):
PA126746650 (NA17103), PA126746659 (NA17105), PA126746664 (NA17106),
PA126746666 (NA17107), PA126746672 (NA17109), PA126746675 (NA17110),
PA126746676 (NA17111), PA126746678 (NA17113), PA126746689 (NA17114),
PA126746690 (NA17115), PA126746700 (NA17116), PA126746722 (NA17133),
PA126746724 (NA17135), PA126746725 (NA17136), PA126746726 (NA17137),
PA126746727 (NA17138), PA126746728 (NA17139)
DNA Source Containing
Heterozygous
 Reference
Allele (Coriell Lines):
White (European):
PA126741421 (NA12560), PA126741307 (NA07348)
Black or African American (African American):
PA126746644 (NA17101), PA126746648 (NA17102), PA126746670 (NA17108),
PA126746729 (NA17140)
Key Haplotypes: H7
The PGRN is financially supported by grants from NIGMS, NHLBI, NHGRI, NIEHS, NCI, and NLM within the NIH, HHS. PharmGKB is managed at Stanford University. This work is supported by the NIH/NIGMS Pharmacogenetics Research Network and Database (U01GM61374). ©2001-2008 PharmGKB.