rs1902023

This is a missense variant in the UGT2B15 gene.

Key Literature Trait Associations

Benzodiazepine Metabolism

UGT2B15 D85Y (rs1902023) is a common missense variant in UDP-glucuronosyltransferase 2B15. The Tyr85 variant (A allele, *2 allele) reduces enzymatic glucuronidation activity, leading to significantly slower clearance of lorazepam (42% reduction) and oxazepam (52% reduction) in homozygous carriers. This may necessitate benzodiazepine dose adjustments to avoid prolonged sedation.

Court MH et al. UGT2B15 D85Y genotype and gender are major determinants of oxazepam glucuronidation by human liver The Journal of Pharmacology and Experimental Therapeutics (2004)
Allele A
OR
p
Candidate gene study

GWAS Catalog Trait Associations (10)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

X-17340 measurement

Allele A
OR 0.25
p 3.0e-125
N 14,296
Large GWAS
European

vanillylmandelate (VMA) measurement

Feofanova EV et al. Whole-Genome Sequencing Analysis of Human Metabolome in Multi-Ethnic Populations. Nature Communications 14(1):3111 (2023)
Allele C
OR 0.21
p 1.0e-42
N 7,906
Large GWAS
multi-ancestry

serum gamma-glutamyl transferase measurement

Sakaue S et al. A cross-population atlas of genetic associations for 220 human phenotypes. Nature Genetics 53(10):1415-1424 (2021)
Allele C
OR 0.02
p 2.0e-35
N 477,575
Large GWAS
multi-ancestry

X-24418 measurement

Allele C
OR 0.20
p 4.0e-31
N 5,952
Large GWAS
European
Allele C
OR 0.15
p 3.0e-15
N 4,849
Large GWAS
European

5alpha-androstan-3alpha,17beta-diol 17-glucuronide measurement

Feofanova EV et al. Whole-Genome Sequencing Analysis of Human Metabolome in Multi-Ethnic Populations. Nature Communications 14(1):3111 (2023)
Allele C
OR 0.27
p 8.0e-25
N 3,061
Large GWAS
multi-ancestry

sex hormone-binding globulin measurement

Allele C
OR 0.77
p 5.0e-23
N 148,248
Major Consortium StudyLarge GWAS
European

level of serpin A11 in blood

Allele C
OR 0.03
p 4.0e-13
N 47,745
Large GWAS
European

X-21286 measurement

Allele A
OR 0.07
p 6.0e-12
N 14,296
Large GWAS
European

testosterone measurement

Allele C
OR 0.03
p 3.0e-10
N 95,184
Major Consortium StudyLarge GWAS
European

metabolite measurement

Allele C
OR 0.13
p 2.0e-12
N 5,856
Large GWAS
European
Allele C
OR 0.24
p 5.0e-23
N 4,774
Large GWAS
European

Research that mentions this SNP (2)

UGT2B17 gene deletion associated with an increase in bone mineral density similar to the effect of hormone replacement in postmenopausal women
AssociationN=2,379Giroux S. et al.(2012)· Osteoporosis International

UGT2B17 gene deletion was associated with significantly higher bone mineral density (BMD) at the femoral neck and lumbar spine in postmenopausal women who never used hormone replacement therapy (HRT), with effect sizes of 0.25-0.32 standard deviations. This association was not observed in premenopausal women or in postmenopausal women who used HRT. The study replicated previous findings in a large sample of 2,379 women and showed that UGT2B17 null carriers did not benefit from HRT for bone density.

Traits studied:Bone mineral densityOsteoporosis
Allelic imbalance (AI) identifies novel tissue-specificcis-regulatory variation for humanUGT2B15
FunctionalN=112Chang Sun et al.(2010)· Human Mutation

This functional study identifies cis-regulatory variants controlling UGT2B15 expression through allelic imbalance analysis. The coding variant rs1902023 (D85Y) shows allele-specific expression in liver but not breast tissue. Reporter assays confirm that two promoter SNPs (rs34010522 and rs35513228) regulate expression with ~20% activity difference in liver (P<0.001), and ChIP assays show rs34010522 lies within an Nrf2 transcription factor binding site.

Traits studied:Oxazepam glucuronidationUGT2B15 gene expression

Gene information from NCBI Gene. Variant classifications from ClinVar.

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