Chemical: Drug
desflurane
PharmGKB contains no prescribing info for this . Contact us to report known genotype-based dosing guidelines, or if you are interested in developing guidelines.
Annotated Labels
- Annotation of FDA Label for desflurane and CACNA1S,RYR1
- Annotation of HCSC Label for desflurane and CACNA1S,RYR1
1. Annotation of FDA Label for desflurane and CACNA1S,RYR1
Summary
Desflurane is a potent (volatile) inhalational anesthetic used to induce or maintain general anesthesia.
Annotation
The FDA-approved label warns that individuals with a genetic predisposition to malignant hyperthermia, or patients with Duchenne Muscular Dystrophy, are at greater risk of developing malignant hyperthermia, or hyperkaelemia, respectively, if administered desflurane.
Specific variants in the RYR1 and CACNA1S genes are associated with risk of malignant hyperthermia in individuals administered potent inhalational anesthetics, including desflurane. Although the desflurane (SUPRANE) drug label does not specifically mention genetic testing, the FDA-approved label for desflurane (SUPRANE) contraindicates it for individuals with known, or suspected, genetic predisposition to malignant hyperthermia.
Excerpts from the FDA-approved desflurane (SUPRANE) drug label
- The use of SUPRANE is contraindicated in the following conditions
- Known or suspected genetic susceptibility to malignant hyperthermia
In susceptible individuals, potent inhalation anesthetic agents may trigger a skeletal muscle hypermetabolic state leading to high oxygen demand and the clinical syndrome known as malignant hyperthermia.
Use of inhaled anesthetic agents has been associated with rare increases in serum potassium levels that have resulted in cardiac arrhythmias and death in pediatric patients during the postoperative period. Patients with latent as well as overt neuromuscular disease, particularly Duchenne muscular dystrophy, appear to be most vulnerable. Concomitant use of succinylcholine has been associated with most, but not all, of these cases.
For the complete drug label text with sections containing pharmacogenetic information highlighted, see the desflurane drug label
*Disclaimer: The contents of this page have not been endorsed by the FDA and are the sole responsibility of PharmGKB.
Genes and/or phenotypes found in this label
-
Hyperkalemia
- Warnings and precautions section
- source: U.S. Food and Drug Administration
-
Malignant Hyperthermia
- Contraindications section, Warnings and precautions section, Patient Counseling Information
- source: U.S. Food and Drug Administration
-
Muscular Dystrophy, Duchenne
- Contraindications section, Warnings and precautions section, Patient Counseling Information
- source: U.S. Food and Drug Administration
-
Rhabdomyolysis
- source: U.S. Food and Drug Administration
2. Annotation of HCSC Label for desflurane and CACNA1S,RYR1
Summary
Desflurane is a potent (volatile) inhalational anesthetic used to induce or maintain general anesthesia.
Annotation
The HCSC product monograph warns that individuals with a genetic predisposition to malignant hyperthermia are at an elevated risk of developing malignant hyperthermia, and that patients with Duchenne's Muscular Dystrophy are at an elevated risk of developing hyperkaelemia if administered desflurane, or other potent inhalational anesthetics.
Specific variants in the RYR1 and CACNA1S genes are associated with risk of malignant hyperthermia in individuals administered potent inhalational anesthetics, such as desflurane. Although the product monograph for desflurane (SUPRANE) does not specifically mention genetic testing, it states that desflurane is contraindicated in individuals with known to have a genetic predisposition to malignant hyperthermia.
Excerpts from the desflurane (SUPRANE) product monograph
SUPRANE (desflurane) anesthesia is contraindicated in subjects known to be susceptible to MH.
In susceptible individuals, SUPRANE (desflurane) anesthesia may trigger a skeletal muscle hypermetabolic state leading to high oxygen demand and the clinical syndrome known as malignant hyperthermia.
The most serious reported adverse events in alphabetical order are apnea, bronchospasm, cardiac arrest, hepatic failure, hyperkalemia, hypotension, malignant hyperthermia, and respiratory depression.
Perioperative Hyperkalemia: Use of inhaled anesthetic agents, including desflurane, has been associated with rare increases in serum potassium levels that have resulted in cardiac arrhythmias, some fatal, in patients during the postoperative period. Patients with latent as well as overt muscular dystrophies, particularly Duchenne Muscular Dystrophy, appear to be most vulnerable. Concomitant use of succinylcholine has been associated with most, but not all, of these cases.
For the complete product monograph text with sections containing pharmacogenetic information highlighted, see the desflurane product monograph
*Disclaimer: The contents of this page have not been endorsed by the HCSC and are the sole responsibility of PharmGKB.
Genes and/or phenotypes found in this label
-
Hyperkalemia
- Contraindications section, Drug interactions section, Adverse reactions section, Warnings and precautions section
- source: Health Canada Santé Canada
-
Malignant Hyperthermia
- Contraindications section, Adverse reactions section, Clinical pharmacology section, Warnings and precautions section
- source: Health Canada Santé Canada
-
Muscular Dystrophy, Duchenne
- Drug interactions section
- source: Health Canada Santé Canada
PharmGKB contains no Clinical Variants that meet the highest level of criteria.
To see more Clinical Variants with lower levels of criteria, click the button at the bottom of the page.
Disclaimer: The PharmGKB's clinical annotations reflect expert consensus based on clinical evidence and peer-reviewed literature available at the time they are written and are intended only to assist clinicians in decision-making and to identify questions for further research. New evidence may have emerged since the time an annotation was submitted to the PharmGKB. The annotations are limited in scope and are not applicable to interventions or diseases that are not specifically identified.
The annotations do not account for individual variations among patients, and cannot be considered inclusive of all proper methods of care or exclusive of other treatments. It remains the responsibility of the health-care provider to determine the best course of treatment for a patient. Adherence to any guideline is voluntary, with the ultimate determination regarding its application to be made solely by the clinician and the patient. PharmGKB assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of the PharmGKB clinical annotations, or for any errors or omissions.
The table below contains information about pharmacogenomic variants on PharmGKB. Please follow the link in the "Variant" column for more information about a particular variant. Each link in the "Variant" column leads to the corresponding PharmGKB Variant Page. The Variant Page contains summary data, including PharmGKB manually curated information about variant-drug pairs based on individual PubMed publications. The PMIDs for these PubMed publications can be found on the Variant Page.
The tags in the first column of the table indicate what type of information can be found on the corresponding Variant Page.
Links in the "Gene" column lead to PharmGKB Gene Pages.
List of all variant annotations for desflurane
| Gene ? |
Variant?
(147) |
Alternate Names ? | Chemicals ? |
Alleles
?
(+ chr strand) |
Function ? |
Amino Acid?
Translation |
|
|---|---|---|---|---|---|---|---|
| rs111888148 | NC_000019.10:g.38455463G>A, NC_000019.10:g.38455463G>T, NC_000019.9:g.38946103G>A, NC_000019.9:g.38946103G>T, NG_008866.1:g.26764G>A, NG_008866.1:g.26764G>T, NM_000540.2:c.1589G>A, NM_000540.2:c.1589G>T, NM_001042723.1:c.1589G>A, NM_001042723.1:c.1589G>T, NP_000531.2:p.Arg530His, NP_000531.2:p.Arg530Leu, NP_001036188.1:p.Arg530His, NP_001036188.1:p.Arg530Leu, XM_006723317.1:c.1589G>A, XM_006723317.1:c.1589G>T, XM_006723319.1:c.1589G>A, XM_006723319.1:c.1589G>T, XM_011527204.1:c.1586G>A, XM_011527204.1:c.1586G>T, XM_011527205.1:c.1589G>A, XM_011527205.1:c.1589G>T, XP_006723380.1:p.Arg530His, XP_006723380.1:p.Arg530Leu, XP_006723382.1:p.Arg530His, XP_006723382.1:p.Arg530Leu, XP_011525506.1:p.Arg529His, XP_011525506.1:p.Arg529Leu, XP_011525507.1:p.Arg530His, XP_011525507.1:p.Arg530Leu |
G > A
|
SNP |
R530H
|
|||
| rs112563513 | NC_000019.10:g.38499223G>A, NC_000019.9:g.38989863G>A, NG_008866.1:g.70524G>A, NM_000540.2:c.7007G>A, NM_001042723.1:c.7007G>A, NP_000531.2:p.Arg2336His, NP_001036188.1:p.Arg2336His, XM_006723317.1:c.7007G>A, XM_006723319.1:c.7007G>A, XM_011527204.1:c.7004G>A, XM_011527205.1:c.7007G>A, XP_006723380.1:p.Arg2336His, XP_006723382.1:p.Arg2336His, XP_011525506.1:p.Arg2335His, XP_011525507.1:p.Arg2336His |
G > A
|
SNP |
R2336H
|
|||
| rs118192116 | NC_000019.10:g.38451850C>G, NC_000019.9:g.38942490C>G, NG_008866.1:g.23151C>G, NM_000540.2:c.1209C>G, NM_001042723.1:c.1209C>G, NP_000531.2:p.Ile403Met, NP_001036188.1:p.Ile403Met, XM_006723317.1:c.1209C>G, XM_006723319.1:c.1209C>G, XM_011527204.1:c.1206C>G, XM_011527205.1:c.1209C>G, XP_006723380.1:p.Ile403Met, XP_006723382.1:p.Ile403Met, XP_011525506.1:p.Ile402Met, XP_011525507.1:p.Ile403Met |
C > G
|
SNP |
I403M
|
|||
| rs118192122 | NC_000019.10:g.38500643G>A, NC_000019.9:g.38991283G>A, NG_008866.1:g.71944G>A, NM_000540.2:c.7361G>A, NM_001042723.1:c.7361G>A, NP_000531.2:p.Arg2454His, NP_001036188.1:p.Arg2454His, XM_006723317.1:c.7361G>A, XM_006723319.1:c.7361G>A, XM_011527204.1:c.7358G>A, XM_011527205.1:c.7361G>A, XP_006723380.1:p.Arg2454His, XP_006723382.1:p.Arg2454His, XP_011525506.1:p.Arg2453His, XP_011525507.1:p.Arg2454His |
G > A
|
SNP |
R2454H
|
|||
| rs118192124 | NC_000019.10:g.38500636C>T, NC_000019.9:g.38991276C>T, NG_008866.1:g.71937C>T, NM_000540.2:c.7354C>T, NM_001042723.1:c.7354C>T, NP_000531.2:p.Arg2452Trp, NP_001036188.1:p.Arg2452Trp, XM_006723317.1:c.7354C>T, XM_006723319.1:c.7354C>T, XM_011527204.1:c.7351C>T, XM_011527205.1:c.7354C>T, XP_006723380.1:p.Arg2452Trp, XP_006723382.1:p.Arg2452Trp, XP_011525506.1:p.Arg2451Trp, XP_011525507.1:p.Arg2452Trp |
C > T
|
SNP |
R2452W
|
|||
| rs118192161 | NC_000019.10:g.38444211C>T, NC_000019.9:g.38934851C>T, NG_008866.1:g.15512C>T, NM_000540.2:c.487C>T, NM_001042723.1:c.487C>T, NP_000531.2:p.Arg163Cys, NP_001036188.1:p.Arg163Cys, XM_006723317.1:c.487C>T, XM_006723319.1:c.487C>T, XM_011527204.1:c.487C>T, XM_011527205.1:c.487C>T, XP_006723380.1:p.Arg163Cys, XP_006723382.1:p.Arg163Cys, XP_011525506.1:p.Arg163Cys, XP_011525507.1:p.Arg163Cys |
C > T
|
SNP |
R163C
|
|||
| rs118192162 | NC_000019.10:g.38455359A>C, NC_000019.10:g.38455359A>G, NC_000019.9:g.38945999A>C, NC_000019.9:g.38945999A>G, NG_008866.1:g.26660A>C, NG_008866.1:g.26660A>G, NM_000540.2:c.1565A>C, NM_000540.2:c.1565A>G, NM_001042723.1:c.1565A>C, NM_001042723.1:c.1565A>G, NP_000531.2:p.Tyr522Cys, NP_000531.2:p.Tyr522Ser, NP_001036188.1:p.Tyr522Cys, NP_001036188.1:p.Tyr522Ser, XM_006723317.1:c.1565A>C, XM_006723317.1:c.1565A>G, XM_006723319.1:c.1565A>C, XM_006723319.1:c.1565A>G, XM_011527204.1:c.1562A>C, XM_011527204.1:c.1562A>G, XM_011527205.1:c.1565A>C, XM_011527205.1:c.1565A>G, XP_006723380.1:p.Tyr522Cys, XP_006723380.1:p.Tyr522Ser, XP_006723382.1:p.Tyr522Cys, XP_006723382.1:p.Tyr522Ser, XP_011525506.1:p.Tyr521Cys, XP_011525506.1:p.Tyr521Ser, XP_011525507.1:p.Tyr522Cys, XP_011525507.1:p.Tyr522Ser |
A > C
|
SNP |
Y522S
|
|||
| rs118192163 | NC_000019.10:g.38494565G>A, NC_000019.10:g.38494565G>C, NC_000019.9:g.38985205G>A, NC_000019.9:g.38985205G>C, NG_008866.1:g.65866G>A, NG_008866.1:g.65866G>C, NM_000540.2:c.6488G>A, NM_000540.2:c.6488G>C, NM_001042723.1:c.6488G>A, NM_001042723.1:c.6488G>C, NP_000531.2:p.Arg2163His, NP_000531.2:p.Arg2163Pro, NP_001036188.1:p.Arg2163His, NP_001036188.1:p.Arg2163Pro, XM_006723317.1:c.6488G>A, XM_006723317.1:c.6488G>C, XM_006723319.1:c.6488G>A, XM_006723319.1:c.6488G>C, XM_011527204.1:c.6485G>A, XM_011527204.1:c.6485G>C, XM_011527205.1:c.6488G>A, XM_011527205.1:c.6488G>C, XP_006723380.1:p.Arg2163His, XP_006723380.1:p.Arg2163Pro, XP_006723382.1:p.Arg2163His, XP_006723382.1:p.Arg2163Pro, XP_011525506.1:p.Arg2162His, XP_011525506.1:p.Arg2162Pro, XP_011525507.1:p.Arg2163His, XP_011525507.1:p.Arg2163Pro, rs28933999 |
G > A
|
SNP |
R2163H
|
|||
| rs118192167 | NC_000019.10:g.38580004A>G, NC_000019.9:g.39070644A>G, NG_008866.1:g.151305A>G, NM_000540.2:c.14387A>G, NM_001042723.1:c.14372A>G, NP_000531.2:p.Tyr4796Cys, NP_001036188.1:p.Tyr4791Cys, XM_006723317.1:c.14369A>G, XM_006723319.1:c.14354A>G, XM_011527204.1:c.14384A>G, XM_011527205.1:c.14300A>G, XP_006723380.1:p.Tyr4790Cys, XP_006723382.1:p.Tyr4785Cys, XP_011525506.1:p.Tyr4795Cys, XP_011525507.1:p.Tyr4767Cys |
A > G
|
SNP |
Y4796C
|
|||
| rs118192170 | NC_000019.10:g.38584989T>C, NC_000019.9:g.39075629T>C, NG_008866.1:g.156290T>C, NM_000540.2:c.14693T>C, NM_001042723.1:c.14678T>C, NP_000531.2:p.Ile4898Thr, NP_001036188.1:p.Ile4893Thr, XM_006723317.1:c.14675T>C, XM_006723319.1:c.14660T>C, XM_011527204.1:c.14690T>C, XM_011527205.1:c.14606T>C, XP_006723380.1:p.Ile4892Thr, XP_006723382.1:p.Ile4887Thr, XP_011525506.1:p.Ile4897Thr, XP_011525507.1:p.Ile4869Thr |
T > C
|
SNP |
I4898T
|
|||
| rs118192172 | NC_000019.10:g.38457545C>T, NC_000019.9:g.38948185C>T, NG_008866.1:g.28846C>T, NM_000540.2:c.1840C>T, NM_001042723.1:c.1840C>T, NP_000531.2:p.Arg614Cys, NP_001036188.1:p.Arg614Cys, XM_006723317.1:c.1840C>T, XM_006723319.1:c.1840C>T, XM_011527204.1:c.1837C>T, XM_011527205.1:c.1840C>T, XP_006723380.1:p.Arg614Cys, XP_006723382.1:p.Arg614Cys, XP_011525506.1:p.Arg613Cys, XP_011525507.1:p.Arg614Cys, rs28933996 |
C > T
|
SNP |
R614C
|
|||
| rs118192175 | NC_000019.10:g.38494564C>T, NC_000019.9:g.38985204C>T, NG_008866.1:g.65865C>T, NM_000540.2:c.6487C>T, NM_001042723.1:c.6487C>T, NP_000531.2:p.Arg2163Cys, NP_001036188.1:p.Arg2163Cys, XM_006723317.1:c.6487C>T, XM_006723319.1:c.6487C>T, XM_011527204.1:c.6484C>T, XM_011527205.1:c.6487C>T, XP_006723380.1:p.Arg2163Cys, XP_006723382.1:p.Arg2163Cys, XP_011525506.1:p.Arg2162Cys, XP_011525507.1:p.Arg2163Cys, rs28933998 |
C > T
|
SNP |
R2163C
|
|||
| rs118192176 | NC_000019.10:g.38494579G>A, NC_000019.9:g.38985219G>A, NG_008866.1:g.65880G>A, NM_000540.2:c.6502G>A, NM_001042723.1:c.6502G>A, NP_000531.2:p.Val2168Met, NP_001036188.1:p.Val2168Met, XM_006723317.1:c.6502G>A, XM_006723319.1:c.6502G>A, XM_011527204.1:c.6499G>A, XM_011527205.1:c.6502G>A, XP_006723380.1:p.Val2168Met, XP_006723382.1:p.Val2168Met, XP_011525506.1:p.Val2167Met, XP_011525507.1:p.Val2168Met |
G > A
|
SNP |
V2168M
|
|||
| rs118192177 | NC_000019.10:g.38496283C>G, NC_000019.10:g.38496283C>T, NC_000019.9:g.38986923C>G, NC_000019.9:g.38986923C>T, NG_008866.1:g.67584C>G, NG_008866.1:g.67584C>T, NM_000540.2:c.6617C>G, NM_000540.2:c.6617C>T, NM_001042723.1:c.6617C>G, NM_001042723.1:c.6617C>T, NP_000531.2:p.Thr2206Arg, NP_000531.2:p.Thr2206Met, NP_001036188.1:p.Thr2206Arg, NP_001036188.1:p.Thr2206Met, XM_006723317.1:c.6617C>G, XM_006723317.1:c.6617C>T, XM_006723319.1:c.6617C>G, XM_006723319.1:c.6617C>T, XM_011527204.1:c.6614C>G, XM_011527204.1:c.6614C>T, XM_011527205.1:c.6617C>G, XM_011527205.1:c.6617C>T, XP_006723380.1:p.Thr2206Arg, XP_006723380.1:p.Thr2206Met, XP_006723382.1:p.Thr2206Arg, XP_006723382.1:p.Thr2206Met, XP_011525506.1:p.Thr2205Arg, XP_011525506.1:p.Thr2205Met, XP_011525507.1:p.Thr2206Arg, XP_011525507.1:p.Thr2206Met, rs28934000 |
C > G
C > T
|
SNP |
T2206M/R
|
|||
| rs118192178 | NC_000019.10:g.38500898C>G, NC_000019.10:g.38500898C>T, NC_000019.9:g.38991538C>G, NC_000019.9:g.38991538C>T, NG_008866.1:g.72199C>G, NG_008866.1:g.72199C>T, NM_000540.2:c.7522C>G, NM_000540.2:c.7522C>T, NM_001042723.1:c.7522C>G, NM_001042723.1:c.7522C>T, NP_000531.2:p.Arg2508Cys, NP_000531.2:p.Arg2508Gly, NP_001036188.1:p.Arg2508Cys, NP_001036188.1:p.Arg2508Gly, XM_006723317.1:c.7522C>G, XM_006723317.1:c.7522C>T, XM_006723319.1:c.7522C>G, XM_006723319.1:c.7522C>T, XM_011527204.1:c.7519C>G, XM_011527204.1:c.7519C>T, XM_011527205.1:c.7522C>G, XM_011527205.1:c.7522C>T, XP_006723380.1:p.Arg2508Cys, XP_006723380.1:p.Arg2508Gly, XP_006723382.1:p.Arg2508Cys, XP_006723382.1:p.Arg2508Gly, XP_011525506.1:p.Arg2507Cys, XP_011525506.1:p.Arg2507Gly, XP_011525507.1:p.Arg2508Cys, XP_011525507.1:p.Arg2508Gly |
C > T
|
SNP |
R2508C
|
|||
| rs121918592 | NC_000019.10:g.38448712G>A, NC_000019.10:g.38448712G>C, NC_000019.9:g.38939352G>A, NC_000019.9:g.38939352G>C, NG_008866.1:g.20013G>A, NG_008866.1:g.20013G>C, NM_000540.2:c.1021G>A, NM_000540.2:c.1021G>C, NM_001042723.1:c.1021G>A, NM_001042723.1:c.1021G>C, NP_000531.2:p.Gly341Arg, NP_001036188.1:p.Gly341Arg, XM_006723317.1:c.1021G>A, XM_006723317.1:c.1021G>C, XM_006723319.1:c.1021G>A, XM_006723319.1:c.1021G>C, XM_011527204.1:c.1018G>A, XM_011527204.1:c.1018G>C, XM_011527205.1:c.1021G>A, XM_011527205.1:c.1021G>C, XP_006723380.1:p.Gly341Arg, XP_006723382.1:p.Gly341Arg, XP_011525506.1:p.Gly340Arg, XP_011525507.1:p.Gly341Arg, rs28933997 |
G > A
G > C
|
SNP |
G341R
|
|||
| rs121918593 | NC_000019.10:g.38499993G>A, NC_000019.9:g.38990633G>A, NG_008866.1:g.71294G>A, NM_000540.2:c.7300G>A, NM_001042723.1:c.7300G>A, NP_000531.2:p.Gly2434Arg, NP_001036188.1:p.Gly2434Arg, XM_006723317.1:c.7300G>A, XM_006723319.1:c.7300G>A, XM_011527204.1:c.7297G>A, XM_011527205.1:c.7300G>A, XP_006723380.1:p.Gly2434Arg, XP_006723382.1:p.Gly2434Arg, XP_011525506.1:p.Gly2433Arg, XP_011525507.1:p.Gly2434Arg |
G > A
|
SNP |
G2434R
|
|||
| rs121918594 | NC_000019.10:g.38500655G>A, NC_000019.9:g.38991295G>A, NG_008866.1:g.71956G>A, NM_000540.2:c.7373G>A, NM_001042723.1:c.7373G>A, NP_000531.2:p.Arg2458His, NP_001036188.1:p.Arg2458His, XM_006723317.1:c.7373G>A, XM_006723319.1:c.7373G>A, XM_011527204.1:c.7370G>A, XM_011527205.1:c.7373G>A, XP_006723380.1:p.Arg2458His, XP_006723382.1:p.Arg2458His, XP_011525506.1:p.Arg2457His, XP_011525507.1:p.Arg2458His |
G > A
|
SNP |
R2458H
|
|||
| rs121918595 | NC_000019.10:g.38580094C>T, NC_000019.9:g.39070734C>T, NG_008866.1:g.151395C>T, NM_000540.2:c.14477C>T, NM_001042723.1:c.14462C>T, NP_000531.2:p.Thr4826Ile, NP_001036188.1:p.Thr4821Ile, XM_006723317.1:c.14459C>T, XM_006723319.1:c.14444C>T, XM_011527204.1:c.14474C>T, XM_011527205.1:c.14390C>T, XP_006723380.1:p.Thr4820Ile, XP_006723382.1:p.Thr4815Ile, XP_011525506.1:p.Thr4825Ile, XP_011525507.1:p.Thr4797Ile |
C > T
|
SNP |
T4826I
|
|||
| rs1800559 | NC_000001.10:g.201029943C>A, NC_000001.10:g.201029943C>T, NC_000001.11:g.201060815C>A, NC_000001.11:g.201060815C>T, NG_009816.1:g.56752G>A, NG_009816.1:g.56752G>T, NM_000069.2:c.3257G>A, NM_000069.2:c.3257G>T, NP_000060.2:p.Arg1086His, NP_000060.2:p.Arg1086Leu, XM_005245478.1:c.3257G>A, XM_005245478.1:c.3257G>T, XM_005245478.2:c.3257G>A, XM_005245478.2:c.3257G>T, XP_005245535.1:p.Arg1086His, XP_005245535.1:p.Arg1086Leu, rs28931587, rs80338783 |
C > A
C > T
|
SNP |
R1086H/L
|
|||
| rs1801086 | NC_000019.10:g.38446710G>A, NC_000019.10:g.38446710G>C, NC_000019.10:g.38446710G>T, NC_000019.9:g.38937350G>A, NC_000019.9:g.38937350G>C, NC_000019.9:g.38937350G>T, NG_008866.1:g.18011G>A, NG_008866.1:g.18011G>C, NG_008866.1:g.18011G>T, NM_000540.2:c.742G>A, NM_000540.2:c.742G>C, NM_000540.2:c.742G>T, NM_001042723.1:c.742G>A, NM_001042723.1:c.742G>C, NM_001042723.1:c.742G>T, NP_000531.2:p.Gly248Arg, NP_000531.2:p.Gly248Trp, NP_001036188.1:p.Gly248Arg, NP_001036188.1:p.Gly248Trp, XM_006723317.1:c.742G>A, XM_006723317.1:c.742G>C, XM_006723317.1:c.742G>T, XM_006723319.1:c.742G>A, XM_006723319.1:c.742G>C, XM_006723319.1:c.742G>T, XM_011527204.1:c.742G>A, XM_011527204.1:c.742G>C, XM_011527204.1:c.742G>T, XM_011527205.1:c.742G>A, XM_011527205.1:c.742G>C, XM_011527205.1:c.742G>T, XP_006723380.1:p.Gly248Arg, XP_006723380.1:p.Gly248Trp, XP_006723382.1:p.Gly248Arg, XP_006723382.1:p.Gly248Trp, XP_011525506.1:p.Gly248Arg, XP_011525506.1:p.Gly248Trp, XP_011525507.1:p.Gly248Arg, XP_011525507.1:p.Gly248Trp |
G > A
G > C
G > T
|
SNP |
G248R/W
|
|||
| rs193922747 | NC_000019.10:g.38440802T>C, NC_000019.9:g.38931442T>C, NG_008866.1:g.12103T>C, NM_000540.2:c.103T>C, NM_001042723.1:c.103T>C, NP_000531.2:p.Cys35Arg, NP_001036188.1:p.Cys35Arg, XM_006723317.1:c.103T>C, XM_006723319.1:c.103T>C, XM_011527204.1:c.103T>C, XM_011527205.1:c.103T>C, XP_006723380.1:p.Cys35Arg, XP_006723382.1:p.Cys35Arg, XP_011525506.1:p.Cys35Arg, XP_011525507.1:p.Cys35Arg |
T > C
|
SNP |
C35R
|
|||
| rs193922753 | NC_000019.10:g.38444212G>A, NC_000019.10:g.38444212G>T, NC_000019.9:g.38934852G>A, NC_000019.9:g.38934852G>T, NG_008866.1:g.15513G>A, NG_008866.1:g.15513G>T, NM_000540.2:c.488G>A, NM_000540.2:c.488G>T, NM_001042723.1:c.488G>A, NM_001042723.1:c.488G>T, NP_000531.2:p.Arg163His, NP_000531.2:p.Arg163Leu, NP_001036188.1:p.Arg163His, NP_001036188.1:p.Arg163Leu, XM_006723317.1:c.488G>A, XM_006723317.1:c.488G>T, XM_006723319.1:c.488G>A, XM_006723319.1:c.488G>T, XM_011527204.1:c.488G>A, XM_011527204.1:c.488G>T, XM_011527205.1:c.488G>A, XM_011527205.1:c.488G>T, XP_006723380.1:p.Arg163His, XP_006723380.1:p.Arg163Leu, XP_006723382.1:p.Arg163His, XP_006723382.1:p.Arg163Leu, XP_011525506.1:p.Arg163His, XP_011525506.1:p.Arg163Leu, XP_011525507.1:p.Arg163His, XP_011525507.1:p.Arg163Leu |
G > A
G > T
|
SNP |
R163H/L
|
|||
| rs193922770 | NC_000019.10:g.38455528C>T, NC_000019.9:g.38946168C>T, NG_008866.1:g.26829C>T, NM_000540.2:c.1654C>T, NM_001042723.1:c.1654C>T, NP_000531.2:p.Arg552Trp, NP_001036188.1:p.Arg552Trp, XM_006723317.1:c.1654C>T, XM_006723319.1:c.1654C>T, XM_011527204.1:c.1651C>T, XM_011527205.1:c.1654C>T, XP_006723380.1:p.Arg552Trp, XP_006723382.1:p.Arg552Trp, XP_011525506.1:p.Arg551Trp, XP_011525507.1:p.Arg552Trp |
C > T
|
SNP |
R552W
|
|||
| rs193922772 | NC_000019.10:g.38457546G>A, NC_000019.10:g.38457546G>T, NC_000019.9:g.38948186G>A, NC_000019.9:g.38948186G>T, NG_008866.1:g.28847G>A, NG_008866.1:g.28847G>T, NM_000540.2:c.1841G>A, NM_000540.2:c.1841G>T, NM_001042723.1:c.1841G>A, NM_001042723.1:c.1841G>T, NP_000531.2:p.Arg614His, NP_000531.2:p.Arg614Leu, NP_001036188.1:p.Arg614His, NP_001036188.1:p.Arg614Leu, XM_006723317.1:c.1841G>A, XM_006723317.1:c.1841G>T, XM_006723319.1:c.1841G>A, XM_006723319.1:c.1841G>T, XM_011527204.1:c.1838G>A, XM_011527204.1:c.1838G>T, XM_011527205.1:c.1841G>A, XM_011527205.1:c.1841G>T, XP_006723380.1:p.Arg614His, XP_006723380.1:p.Arg614Leu, XP_006723382.1:p.Arg614His, XP_006723382.1:p.Arg614Leu, XP_011525506.1:p.Arg613His, XP_011525506.1:p.Arg613Leu, XP_011525507.1:p.Arg614His, XP_011525507.1:p.Arg614Leu |
G > A
G > T
|
SNP |
R614H/L
|
|||
| rs193922802 | NC_000019.10:g.38499655G>A, NC_000019.9:g.38990295G>A, NG_008866.1:g.70956G>A, NM_000540.2:c.7048G>A, NM_001042723.1:c.7048G>A, NP_000531.2:p.Ala2350Thr, NP_001036188.1:p.Ala2350Thr, XM_006723317.1:c.7048G>A, XM_006723319.1:c.7048G>A, XM_011527204.1:c.7045G>A, XM_011527205.1:c.7048G>A, XP_006723380.1:p.Ala2350Thr, XP_006723382.1:p.Ala2350Thr, XP_011525506.1:p.Ala2349Thr, XP_011525507.1:p.Ala2350Thr |
G > A
|
SNP |
A2350T
|
|||
| rs193922803 | NC_000019.10:g.38499670C>T, NC_000019.9:g.38990310C>T, NG_008866.1:g.70971C>T, NM_000540.2:c.7063C>T, NM_001042723.1:c.7063C>T, NP_000531.2:p.Arg2355Trp, NP_001036188.1:p.Arg2355Trp, XM_006723317.1:c.7063C>T, XM_006723319.1:c.7063C>T, XM_011527204.1:c.7060C>T, XM_011527205.1:c.7063C>T, XP_006723380.1:p.Arg2355Trp, XP_006723382.1:p.Arg2355Trp, XP_011525506.1:p.Arg2354Trp, XP_011525507.1:p.Arg2355Trp |
C > T
|
SNP |
R2355W
|
|||
| rs193922807 | NC_000019.10:g.38499731G>C, NC_000019.9:g.38990371G>C, NG_008866.1:g.71032G>C, NM_000540.2:c.7124G>C, NM_001042723.1:c.7124G>C, NP_000531.2:p.Gly2375Ala, NP_001036188.1:p.Gly2375Ala, XM_006723317.1:c.7124G>C, XM_006723319.1:c.7124G>C, XM_011527204.1:c.7121G>C, XM_011527205.1:c.7124G>C, XP_006723380.1:p.Gly2375Ala, XP_006723382.1:p.Gly2375Ala, XP_011525506.1:p.Gly2374Ala, XP_011525507.1:p.Gly2375Ala |
G > C
|
SNP |
G2375A
|
|||
| rs193922809 | NC_000019.10:g.38499975G>A, NC_000019.9:g.38990615G>A, NG_008866.1:g.71276G>A, NM_000540.2:c.7282G>A, NM_001042723.1:c.7282G>A, NP_000531.2:p.Ala2428Thr, NP_001036188.1:p.Ala2428Thr, XM_006723317.1:c.7282G>A, XM_006723319.1:c.7282G>A, XM_011527204.1:c.7279G>A, XM_011527205.1:c.7282G>A, XP_006723380.1:p.Ala2428Thr, XP_006723382.1:p.Ala2428Thr, XP_011525506.1:p.Ala2427Thr, XP_011525507.1:p.Ala2428Thr |
G > A
|
SNP |
A2428T
|
|||
| rs193922816 | NC_000019.10:g.38500642C>T, NC_000019.9:g.38991282C>T, NG_008866.1:g.71943C>T, NM_000540.2:c.7360C>T, NM_001042723.1:c.7360C>T, NP_000531.2:p.Arg2454Cys, NP_001036188.1:p.Arg2454Cys, XM_006723317.1:c.7360C>T, XM_006723319.1:c.7360C>T, XM_011527204.1:c.7357C>T, XM_011527205.1:c.7360C>T, XP_006723380.1:p.Arg2454Cys, XP_006723382.1:p.Arg2454Cys, XP_011525506.1:p.Arg2453Cys, XP_011525507.1:p.Arg2454Cys |
C > T
|
SNP |
R2454C
|
|||
| rs193922818 | NC_000019.10:g.38500899G>A, NC_000019.9:g.38991539G>A, NG_008866.1:g.72200G>A, NM_000540.2:c.7523G>A, NM_001042723.1:c.7523G>A, NP_000531.2:p.Arg2508His, NP_001036188.1:p.Arg2508His, XM_006723317.1:c.7523G>A, XM_006723319.1:c.7523G>A, XM_011527204.1:c.7520G>A, XM_011527205.1:c.7523G>A, XP_006723380.1:p.Arg2508His, XP_006723382.1:p.Arg2508His, XP_011525506.1:p.Arg2507His, XP_011525507.1:p.Arg2508His |
G > A
|
SNP |
R2508H
|
|||
| rs193922876 | NC_000019.10:g.38580114C>T, NC_000019.9:g.39070754C>T, NG_008866.1:g.151415C>T, NM_000540.2:c.14497C>T, NM_001042723.1:c.14482C>T, NP_000531.2:p.His4833Tyr, NP_001036188.1:p.His4828Tyr, XM_006723317.1:c.14479C>T, XM_006723319.1:c.14464C>T, XM_011527204.1:c.14494C>T, XM_011527205.1:c.14410C>T, XP_006723380.1:p.His4827Tyr, XP_006723382.1:p.His4822Tyr, XP_011525506.1:p.His4832Tyr, XP_011525507.1:p.His4804Tyr |
C > T
|
SNP |
H4833Y
|
|||
| rs193922878 | NC_000019.10:g.38580370C>G, NC_000019.9:g.39071010C>G, NG_008866.1:g.151671C>G, NM_000540.2:c.14512C>G, NM_001042723.1:c.14497C>G, NP_000531.2:p.Leu4838Val, NP_001036188.1:p.Leu4833Val, XM_006723317.1:c.14494C>G, XM_006723319.1:c.14479C>G, XM_011527204.1:c.14509C>G, XM_011527205.1:c.14425C>G, XP_006723380.1:p.Leu4832Val, XP_006723382.1:p.Leu4827Val, XP_011525506.1:p.Leu4837Val, XP_011525507.1:p.Leu4809Val |
C > G
|
SNP |
L4838V
|
|||
| rs28933396 | NC_000019.10:g.38499997G>A, NC_000019.10:g.38499997G>T, NC_000019.9:g.38990637G>A, NC_000019.9:g.38990637G>T, NG_008866.1:g.71298G>A, NG_008866.1:g.71298G>T, NM_000540.2:c.7304G>A, NM_000540.2:c.7304G>T, NM_001042723.1:c.7304G>A, NM_001042723.1:c.7304G>T, NP_000531.2:p.Arg2435His, NP_000531.2:p.Arg2435Leu, NP_001036188.1:p.Arg2435His, NP_001036188.1:p.Arg2435Leu, XM_006723317.1:c.7304G>A, XM_006723317.1:c.7304G>T, XM_006723319.1:c.7304G>A, XM_006723319.1:c.7304G>T, XM_011527204.1:c.7301G>A, XM_011527204.1:c.7301G>T, XM_011527205.1:c.7304G>A, XM_011527205.1:c.7304G>T, XP_006723380.1:p.Arg2435His, XP_006723380.1:p.Arg2435Leu, XP_006723382.1:p.Arg2435His, XP_006723382.1:p.Arg2435Leu, XP_011525506.1:p.Arg2434His, XP_011525506.1:p.Arg2434Leu, XP_011525507.1:p.Arg2435His, XP_011525507.1:p.Arg2435Leu |
G > A
|
SNP |
R2435H
|
|||
| rs28933397 | NC_000019.10:g.38500654C>T, NC_000019.9:g.38991294C>T, NG_008866.1:g.71955C>T, NM_000540.2:c.7372C>T, NM_001042723.1:c.7372C>T, NP_000531.2:p.Arg2458Cys, NP_001036188.1:p.Arg2458Cys, XM_006723317.1:c.7372C>T, XM_006723319.1:c.7372C>T, XM_011527204.1:c.7369C>T, XM_011527205.1:c.7372C>T, XP_006723380.1:p.Arg2458Cys, XP_006723382.1:p.Arg2458Cys, XP_011525506.1:p.Arg2457Cys, XP_011525507.1:p.Arg2458Cys |
C > T
|
SNP |
R2458C
|
|||
| rs63749869 | NC_000019.10:g.38580440G>A, NC_000019.9:g.39071080G>A, NG_008866.1:g.151741G>A, NM_000540.2:c.14582G>A, NM_001042723.1:c.14567G>A, NP_000531.2:p.Arg4861His, NP_001036188.1:p.Arg4856His, XM_006723317.1:c.14564G>A, XM_006723319.1:c.14549G>A, XM_011527204.1:c.14579G>A, XM_011527205.1:c.14495G>A, XP_006723380.1:p.Arg4855His, XP_006723382.1:p.Arg4850His, XP_011525506.1:p.Arg4860His, XP_011525507.1:p.Arg4832His |
G > A
|
SNP |
R4861H
|
Overview
- Desflurano [INN-Spanish]
- Desfluranum [INN-Latin]
- Suprane
PharmGKB Accession Id
PA164749136
Type(s):
Drug
Description
Source: Drug Bank
Indication
Source: Drug Bank
Other Vocabularies
- MeSH: desflurane (C053562)
- ATC: Halogenated hydrocarbons (N01AB)
- UMLS: desflurane (C0063252)
- RxNorm: desflurane (27340)
- NDFRT: DESFLURANE (N0000148295)
Information pulled from DrugBank has not been reviewed by PharmGKB.
Pharmacology, Interactions, and Contraindications
Mechanism of Action
Source: Drug Bank
Pharmacology
Source: Drug Bank
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Source: Drug Bank
Absorption
Source: Drug Bank
Chemical Properties
SMILES
FC(F)OC(F)C(F)(F)F
Source: Drug Bank
InChI String
InChI=1S/C3H2F6O/c4-1(3(7,8)9)10-2(5)6/h1-2H
Source: Drug Bank
PharmGKB Curated Pathways
Pathways created internally by PharmGKB based primarily on literature evidence.
-
Succinylcholine Pathway, Pharmacokinetics/Pharmacodynamics
Schematic representation of succinylcholine metabolism and mechanism of action.
Publications related to desflurane: 117
LinkOuts
- Web Resource:
- Wikipedia
- National Drug Code Directory:
- 10019-641-24
- DrugBank:
- DB01189
- ChEBI:
- 4445
- Drugs Product Database (DPD):
- 2227428
- ChemSpider:
- 38403
- Therapeutic Targets Database:
- DAP000693
- FDA Drug Label at DailyMed:
- 3fe3d468-d283-4dd0-a1a7-29291a9b2d0b
Clinical Trials
These are trials that mention desflurane and are related to either pharmacogenetics or pharmacogenomics.
NURSA Datasets
No NURSA datasets available.

