Gene:
POLG
polymerase (DNA directed), gamma

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

  1. Annotation of FDA Label for divalproex sodium and POLG
  2. Annotation of FDA Label for valproic acid and ABL2,ASL,ASS1,CPS1,NAGS,OTC,POLG
  3. Annotation of HCSC Label for divalproex sodium and POLG
  4. Annotation of HCSC Label for valproic acid and OTC,POLG

1. Annotation of FDA Label for divalproex sodium and POLG

Testing required

Summary

The FDA-approved drug label for divalproex states that it is contraindicated in individuals with known mitochondrial disorders caused by mutations in mitochondrial DNA polymerase gamma (POLG), and suspected POLG-related disorders in children under 2 years old.

There's more of this label. Read more.


last updated 03/21/2016

2. Annotation of FDA Label for valproic acid and ABL2,ASL,ASS1,CPS1,NAGS,OTC,POLG

Actionable PGx

Summary

Valproic acid is used to treat patients with various types of seizures. The FDA-approved drug label for valproic acid notes that it is contraindicated in patients with known urea cycle disorders (UCDs), a group of uncommon genetic abnormalities, since these patients can sometimes experience fatal hyperammonemic encephalopathy following initiation of treatment. It is also contraindicated in patients with POLG mutations. However, the label does not explicitly mention testing for genetic mutations leading to UCDs or POLG mutations prior to valproic acid treatment.

There's more of this label. Read more.


3. Annotation of HCSC Label for divalproex sodium and POLG

Testing required

Summary

The product monograph for divalproex states that it is contraindicated in patients known to have mitochondrial disorders caused by mutations in mitochondrial DNA polymerase gamma (POLG), and in children under two years of age who are suspected of having a POLG-related disorder.

There's more of this label. Read more.


4. Annotation of HCSC Label for valproic acid and OTC,POLG

Actionable PGx

Summary

The product monograph for valproic acid states that it is contraindicated in patients with mitochondrial disorders caused by mutations in mitochondrial DNA polymerase gamma (POLG) or in patients with known urea cycle disorders, particularly ornithine transcarbamylase (OTC) deficiency.

There's more of this label. Read more.


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 table.

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.

? = Mouse-over for quick help

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 on the appropriate tab.

Links in the "Drugs" column lead to PharmGKB Drug Pages.

List of all variant annotations for POLG

Variant?
(147)
Alternate Names ? Chemicals ? Alleles ?
(+ chr strand)
Function ? Amino Acid?
Translation
No VIP available No Clinical Annotations available VA
rs2307441 NC_000015.10:g.89318595T>C, NC_000015.9:g.89861826T>C, NG_008218.1:g.21201A>G, NG_011736.1:g.79633T>C, NM_001126131.1:c.3428A>G, NM_002693.2:c.3428A>G, NP_001119603.1:p.Glu1143Gly, NP_002684.1:p.Glu1143Gly, rs17804944, rs3176226
T > C
SNP
E1143G
No VIP available CA VA
rs3087374 NC_000015.10:g.89316763C>A, NC_000015.9:g.89859994C>A, NG_008218.1:g.23033G>T, NG_011736.1:g.77801C>A, NM_001113378.1:c.*304C>A, NM_001126131.1:c.3708G>T, NM_002693.2:c.3708G>T, NM_018193.2:c.*304C>A, NP_001119603.1:p.Gln1236His, NP_002684.1:p.Gln1236His, XM_005254946.1:c.*304C>A, XM_005254947.1:c.*304C>A, XM_005254948.1:c.*304C>A, XM_005254949.1:c.*304C>A, XM_005254950.1:c.*304C>A, XM_005254951.1:c.*304C>A, XM_005254952.1:c.*304C>A, XM_005254953.1:c.*304C>A, XM_011521756.1:c.*304C>A, XM_011521757.1:c.*304C>A, XM_011521758.1:c.*304C>A, XM_011521759.1:c.*304C>A, XM_011521760.1:c.*304C>A, XM_011521761.1:c.*304C>A, XM_011521762.1:c.*304C>A, XM_011521763.1:c.*304C>A, XM_011521764.1:c.*304C>A, XM_011521765.1:c.*304C>A, XM_011521766.1:c.*304C>A, XM_011521767.1:c.*304C>A, XM_011521769.1:c.*304C>A, XR_243211.1:n.4144C>A, XR_243212.1:n.3964C>A, rs17804776, rs3176244, rs386579081, rs61472028
C > A
C > T
SNP
Q1236H
Alleles, Functions, and Amino Acid Translations are all sourced from dbSNP 147

Overview

Alternate Names:  None
Alternate Symbols:  POLG1; POLGA
PharmGKB Accession Id: PA33500

Details

Cytogenetic Location: chr15 : q26.1 - q26.1
GP mRNA Boundary: chr15 : 89859536 - 89878026
GP Gene Boundary: chr15 : 89856536 - 89888026
Strand: minus

Visualization

UCSC has a Genome Browser that you can use to view PharmGKB annotations for this gene in context with many other sources of information.

View on UCSC Browser
The mRNA boundaries are calculated using the gene's default feature set from NCBI, mapped onto the UCSC Golden Path. PharmGKB sets gene boundaries by expanding the mRNA boundaries by no less than 10,000 bases upstream (5') and 3,000 bases downstream (3') to allow for potential regulatory regions.
No related genes are available

Curated Information ?

Curated Information ?

Evidence Disease
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Toxic liver disease

Publications related to POLG: 10

No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Prospective study of POLG mutations presenting in children with intractable epilepsy: prevalence and clinical features. Epilepsia. 2013. Uusimaa Johanna, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Drug-resistant epilepsia and fulminant valproate liver toxicity. Alpers-Huttenlocher syndrome in two children confirmed post mortem by identification of p.W748S mutation in POLG gene. Medical science monitor : international medical journal of experimental and clinical research. 2011. Pronicka Ewa, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
POLG1 manifestations in childhood. Neurology. 2011. Isohanni P, et al. PubMed
No Dosing Guideline available No Drug Label available CA VA No VIP available No VIP available
Polymerase gamma gene POLG determines the risk of sodium valproate-induced liver toxicity. Hepatology (Baltimore, Md.). 2010. Stewart Joanna D, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
POLG DNA testing as an emerging standard of care before instituting valproic acid therapy for pediatric seizure disorders. Seizure : the journal of the British Epilepsy Association. 2010. Saneto Russell P, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Status epilepticus in children with Alpers' disease caused by POLG1 mutations: EEG and MRI features. Epilepsia. 2009. Wolf Nicole I, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Reversible valproate hepatotoxicity due to mutations in mitochondrial DNA polymerase gamma (POLG1). BMJ case reports. 2009. McFarland R, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Reversible valproate hepatotoxicity due to mutations in mitochondrial DNA polymerase gamma (POLG1). Archives of disease in childhood. 2008. McFarland R, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Mitochondrial DNA polymerase-gamma and human disease. Human molecular genetics. 2006. Hudson Gavin, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
The expanding phenotype of mitochondrial myopathy. Current opinion in neurology. 2005. DiMauro Salvatore, et al. PubMed

LinkOuts

NCBI Gene:
5428
OMIM:
157640
174763
203700
258450
603041
607459
UCSC Genome Browser:
NM_002693
RefSeq RNA:
NM_001126131
NM_002693
RefSeq Protein:
NP_001119603
NP_002684
RefSeq DNA:
NG_008218
NT_010274
UniProtKB:
DPOG1_HUMAN (P54098)
Ensembl:
ENSG00000140521
GenAtlas:
POLG
GeneCard:
POLG
MutDB:
POLG
ALFRED:
LO010452M
HuGE:
POLG
Comparative Toxicogenomics Database:
5428
ModBase:
P54098
HumanCyc Gene:
HS06732
HGNC:
9179

Common Searches