rs2231142

This is a missense variant in the ABCG2 gene.

Key Literature Trait Associations

Rosuvastatin Levels

ABCG2 Q141K reduces function of the BCRP efflux transporter, which normally limits oral absorption and promotes biliary excretion of substrate drugs. Carriers have approximately 2-fold higher rosuvastatin plasma levels at standard doses. CPIC recommends a lower rosuvastatin starting dose in homozygous TT carriers. This variant also increases exposure to sulfasalazine and the chemotherapy agent topotecan.

Allele T
OR
p 1.0e-15
Large GWAS

GWAS Catalog Trait Associations (23)

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

urate measurement

Cho C et al. Large-scale cross-ancestry genome-wide meta-analysis of serum urate. Nature Communications 15(1):3441 (2024)
Allele T
OR 0.21
p
N 1,029,323
Meta-analysisLarge GWAS
multi-ancestry
Major TJ et al. A genome-wide association analysis reveals new pathogenic pathways in gout. Nature Genetics 56(11):2392-2406 (2024)
Allele T
OR 0.24
p 2.0e-305
N 630,117
Large GWAS
European
Allele T
OR 0.34
p 7.0e-21
N 457,690
Large GWAS
multi-ancestry
Allele T
OR 0.22
p 1.0e-134
N 110,347
Large GWAS
European
Allele T
OR 0.22
p 2.0e-29
N 15,282
Large GWAS
European
Allele T
OR 0.18
p 9.0e-29
N 14,296
Large GWAS
European
Allele T
OR 0.14
p 4.0e-10
N 8,264
Large GWAS
European
Allele T
OR 0.40
p 9.0e-14
N 4,941
Large GWAS
European

4-hydroxychlorothalonil measurement

Allele T
OR 0.56
p 4.0e-258
N 14,296
Large GWAS
European

uric acid measurement

Sakaue S et al. A cross-population atlas of genetic associations for 220 human phenotypes. Nature Genetics 53(10):1415-1424 (2021)
Allele T
OR 0.11
p 1.0e-184
N 129,405
Large GWAS
East Asian
Allele T
OR 0.14
p 1.0e-10
N 28,141
Meta-analysisLarge GWAS
European
Allele T
OR 0.16
p 2.0e-20
N 15,506
Large GWAS
European
Allele T
OR 0.22
p 2.0e-29
N 6,881
Large GWAS
East Asian
Allele T
OR 0.04
p 3.0e-42
N 3,451
Large GWAS
East Asian
Macias-Kauffer LR et al. Genetic contributors to serum uric acid levels in Mexicans and their effect on premature coronary artery disease. International Journal of Cardiology 279:168-173 (2019)
Allele T
OR 0.23
p 2.0e-10
N 2,153
Large GWAS
Hispanic or Latin American
Allele T
OR 0.23
p 1.0e-18
N 396
Small GWAS
Hispanic or Latin American

serum metabolite level

Allele G
OR 0.58
p 7.0e-91
N 3,926
Large GWAS
Hispanic or Latin American

bladder calculus

Verma A et al. Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. Science (new York, N.y.) 385(6706):eadj1182 (2024)
Allele G
OR 0.17
p 4.0e-53
N 433,456
Major Consortium StudyLarge GWAS
European

nephrolithiasis

Verma A et al. Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. Science (new York, N.y.) 385(6706):eadj1182 (2024)
Allele G
OR 0.18
p 5.0e-51
N 435,154
Major Consortium StudyLarge GWAS
European
Lovegrove CE et al. Central Adiposity Increases Risk of Kidney Stone Disease through Effects on Serum Calcium Concentrations. Journal of the American Society of Nephrology : Jasn 34(12):1991-2011 (2023)
Allele G
OR 1.11
p 2.0e-8
N 739,048
Large GWAS
European

drug use measurement, gout

Verma A et al. Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. Science (new York, N.y.) 385(6706):eadj1182 (2024)
Allele G
OR 0.65
p 5.0e-36
N 29,314
Major Consortium StudyLarge GWAS
Hispanic or Latin American

coffee consumption measurement, tea consumption measurement

Allele G
OR 0.04
p 1.0e-26
N 362,316
Large GWAS
European

ClinVar annotation

Drug Response★★★★
4 submitters18 publications

URIC ACID CONCENTRATION, SERUM, QUANTITATIVE TRAIT LOCUS 1; BLOOD GROUP, JUNIOR SYSTEM; rosuvastatin response - Efficacy; Gemcitabine response; rosuvastatin response - Metabolism/PK; ABCG2-related disorder

View on ClinVar →

Research that mentions this SNP (15)

Correlation between single-nucleotide polymorphisms and statin-induced myopathy: a mixed-effects model meta-analysis
Meta-analysisN=21,692Qian Xiang et al.(2021)· European Journal of Clinical Pharmacology

A meta-analysis of 32 studies (21,692 individuals) examined SNPs associated with statin-induced myopathy (SIM). SLCO1B1 rs4149056 C allele significantly increased SIM risk in heterozygous (OR ~1.58), homozygous (OR ~4.47), dominant (OR ~1.89), and recessive (OR ~4.54) models. SLCO1B1 rs4363657 C allele was protective, and GATM rs9806699 A allele carriers had lower SIM risk with rosuvastatin treatment.

Traits studied:Elevated creatine kinaseMuscle injuryMuscle weaknessMyalgiaMyopathyRhabdomyolysisStatin-induced myopathy
Genetic variation of FTO: rs1421085 T&gt;C, rs8057044 G&gt;A, rs9939609 T&gt;A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
Membrane‐Spanning Protein Genetic Polymorphisms Related to Methotrexate Therapeutic Outcomes in a Chinese Rheumatoid Arthritis Population
AssociationN=100Shuang Lv et al.(2019)· The Journal of Clinical Pharmacology

This pilot study investigated associations between genetic polymorphisms in transporter genes (SLC19A1, ABCC2, ABCB1, ABCC1, ABCC3, ABCG2) and clinical response to methotrexate (MTX) in 100 Chinese rheumatoid arthritis (RA) patients. Multiple SNPs showed significant associations with MTX response: SLC19A1 rs12659 and rs3788200 major alleles were associated with EULAR good/moderate response (RR=1.42-1.45, p=0.03-0.04); ABCC2 rs3740066 major allele was associated with DAS28-ESR low disease activity (RR=0.67, p=0.02). Haplotype analysis identified significant associations of SLC19A1 and ABCC2 haplotypes with clinical response outcomes.

Traits studied:Change in DAS28-ESRDAS28-ESR low disease activityEULAR good and moderate responseMethotrexate responseRheumatoid arthritis
Genome‐Wide Association and Functional Studies Reveal Novel Pharmacological Mechanisms for Allopurinol
AssociationN=4,446Deanna J. Brackman et al.(2019)· Clinical Pharmacology &amp; Therapeutics

This genome-wide association study of 4,446 allopurinol-treated subjects identified BCRP Q141K (rs2231142) as a significant determinant of poor allopurinol response (P = 8.06 × 10⁻¹¹), with a novel suggestive association in GREM2 (rs1934341, P = 3.22 × 10⁻⁶) for better response. In vitro studies demonstrated that oxypurinol inhibits GLUT9-mediated uric acid uptake (IC₅₀ = 108 µM), suggesting a secondary mechanism of allopurinol action beyond xanthine oxidase inhibition.

Traits studied:Allopurinol responseGoutHyperuricemiaSerum uric acid
NPT1/SLC17A1 Is a Renal Urate Exporter in Humans and Its Common Gain‐of‐Function Variant Decreases the Risk of Renal Underexcretion Gout
AssociationN=3,103Toshinori Chiba et al.(2015)· Arthritis &amp; Rheumatology

This replication study analyzed 2255 variants in LD with GWAS-identified gout/serum urate susceptibility loci in 1255 Han Chinese gout patients and 1848 controls. Twenty-three variants (41%) showed nominal association (p<0.05), with the strongest signal at ABCG2 rs1481012 (p=8.96×10⁻¹¹, OR=1.890). Previous gout-associated loci including ABCG2, SLC2A9, GCKR, ALDH2, and CNIH2 were replicated, while cumulative genetic risk scores showed that individuals with ≥8 risk alleles had significantly increased gout risk (OR=16.361 for ≥12 alleles).

Traits studied:GoutSerum urate concentrations
Genome‐wide association study identifies ABCG2 (BCRP) as an allopurinol transporter and a determinant of drug response
AssociationN=2,027Wen CC et al.(2015)· Clinical Pharmacology &amp; Therapeutics

A genome-wide association study of 2,027 subjects from the Kaiser Permanente GERA cohort identified ABCG2 as a key determinant of allopurinol response for treating hyperuricemia/gout. The missense variant rs2231142 (Q141K) was significantly associated with reduced serum uric acid reduction (P = 3 × 10^-7 in meta-analysis, accounting for 1.1% of variance). Functional studies confirmed that BCRP (encoded by ABCG2) transports allopurinol and oxypurinol, and the Q141K variant reduces this transport.

Traits studied:Allopurinol response (serum uric acid reduction)GoutHyperuricemia
Polymorphism in alpha 2A adrenergic receptor gene is associated with sialorrhea in schizophrenia patients on clozapine treatment
AssociationN=237Anssi Solismaa et al.(2014)· Human Psychopharmacology: Clinical and Experimental

This dissertation examined pharmacogenetic associations with clozapine adverse effects in 237 Finnish schizophrenia patients. ADRA2A rs1800544 was associated with clozapine-induced sialorrhea (OR 2.13, 95% CI: 1.17-3.88, p=0.013). Eight HNMT SNPs in complete linkage disequilibrium (r²=1) were associated with sedation. CHRM3 rs685548 and weighted genetic risk scores from HTR4, HTR7, TPH1, CHRM2, ABCB1, and OPRM1 were associated with anticholinergic symptoms.

Traits studied:Anticholinergic symptomsClozapine pharmacokineticsClozapine-induced sialorrheaConstipationSchizophrenia (treatment-related adverse effects)Sedation
The frequency of single nucleotide polymorphisms and their association with uric acid concentration based on data from genome-wide association studies in the Korean population
AssociationN=2,359Chang-Nam Son et al.(2014)· Rheumatology International

A two-part genetic association study in Korean populations examining SNP associations with serum uric acid (SUA) concentration. Study 1 compared minor allele frequencies of 40 SNPs associated with SUA across Korean, Japanese, and European descent populations in 1,957 subjects. Study 2 analyzed associations in 402 RA patients, finding rs12734001 (PPP1R12B) most significantly associated with SUA levels (P_trend = 2.29 × 10^-9) and rs3741414 (INHBC) with P_trend = 0.01. Results showed Korean SNP frequencies were more similar to Japanese than European populations.

Traits studied:gouthyperuricemiaserum uric acid concentration
Interindividual Variability in the Hepatic Expression of the Human Breast Cancer Resistance Protein (BCRP/ABCG2): Effect of Age, Sex, and Genotype
AssociationN=1,000Bhagwat Prasad et al.(2013)· Journal of Pharmaceutical Sciences

Case-control study of 1,000 Han Chinese individuals (450 epilepsy cases, 550 controls) examining associations between STX1B polymorphisms and epilepsy treatment response. The rs140820592 variant showed significant association with reduced epilepsy risk (OR=0.542, p=0.004) and drug-resistant epilepsy risk (OR=0.260, p=0.004), with eQTL analysis confirming rs140820592 regulates STX1B expression in brain tissues.

Traits studied:Drug-resistant epilepsyDrug-responsive epilepsyEpilepsyImatinib response in chronic myelogenous leukemiaPraziquantel responseTacrolimus metabolism
Genetic variability related to serum uric acid concentration and risk of Parkinson's disease
AssociationN=1,815Isabel González‐Aramburu et al.(2013)· Movement Disorders

This study analyzed 9 uric acid-regulating SNPs and 5 progranulin-regulating SNPs in 1,061 Parkinson's disease patients and 754 controls. A cumulative genetic risk score from 8 SNPs (SLC2A9 rs734553, ABCG2 rs2231142, SLC17A1 rs1183201, SLC22A12 rs505802, GCKR rs780094, PDZK1 rs12129861, LRRC16A/SCGN rs742132, SLC16A9 rs12356193) was significantly associated with increased PD risk (OR=1.55, p=0.012). The TMEM106b rs1020004 variant showed association with PD risk (p=0.003), and SORT1 rs646776 was associated with serum progranulin levels and PD-dementia risk.

Traits studied:Parkinson's diseaseParkinson's disease dementiaSerum progranulin levelsSerum uric acid levels
Association between gout and polymorphisms in GCKR in male Han Chinese
AssociationN=3,103Jing Wang et al.(2012)· Human Genetics

This replication study examined 2,255 variants in linkage disequilibrium with GWAS-identified gout/urate susceptibility loci in 1,255 Han Chinese gout patients and 1,848 controls. Twenty-three variants (41% of 56 LD-pruned variants) showed nominal association with gout (p < 0.05), with the strongest signals at ABCG2 (rs1481012, OR=1.890, p=8.96×10⁻¹¹) and SLC2A9 (rs11722228, OR=1.619, p=2.40×10⁻⁶). Cumulative genetic risk score analysis demonstrated increasing gout risk with growing numbers of risk alleles (OR=16.361 for ≥12 alleles vs ≤5 reference).

Traits studied:GoutSerum urate levels
A comprehensive study of polymorphisms in the ABCB1, ABCC2, ABCG2, NR1I2 genes and lymphoma risk
AssociationN=102Campa et al.(2012)· International Journal of Cancer

This study of 102 Mexican breast cancer patients undergoing FAC neoadjuvant chemotherapy found that ABCB1 rs1045642 (C3435T) polymorphism was significantly associated with chemotherapy response. Patients with C/C or C/T genotypes were more likely to be chemosensitive than T/T carriers (OR=4.055, p=0.0064). The C/C+C/T genotype was protective against chemoresistance in pathological response (OR=3.714, p=0.0104). ABCG2 rs2231142 (G421T) showed no significant association with chemotherapy response.

Traits studied:Breast cancer chemotherapy responseChemoresistance to FAC therapyLocally advanced breast cancer
A comprehensive study of polymorphisms inABCB1, ABCC2andABCG2and lung cancer chemotherapy response and prognosis
AssociationN=377Daniele Campa et al.(2012)· International Journal of Cancer

This comprehensive study genotyped 53 polymorphisms in three ABC transporter genes (ABCB1, ABCC2, and ABCG2) in 377 lung cancer patients (206 NSCLC and 171 SCLC) to assess their impact on chemotherapy response and survival. SNP rs717620 in ABCC2 was strongly associated with shorter progression-free survival and overall survival in SCLC patients but not NSCLC, indicating ABCC2 genetic variation is an important factor in SCLC survival following chemotherapy.

Traits studied:Lung cancer chemotherapy responseNon-small cell lung carcinoma (NSCLC)Overall survivalProgression-free survivalSmall cell lung carcinoma (SCLC)
The effects of CYP3A4, CYP3A5, ABCB1, ABCC2, ABCG2 and SLCO1B3 single nucleotide polymorphisms on the pharmacokinetics and pharmacodynamics of docetaxel in nasopharyngeal carcinoma patients
AssociationN=54Sin-Chi Chew et al.(2011)· Cancer Chemotherapy and Pharmacology

This pharmacogenetic study of 54 Asian nasopharyngeal cancer patients examined how polymorphisms in CYP3A4, CYP3A5, ABCB1, ABCC2, ABCG2, and SLCO1B3 affect docetaxel pharmacokinetics and toxicity. Patients homozygous for the variant allele (GG) of SLCO1B3 rs11045585 had significantly higher AUC and lower clearance of docetaxel (P = 0.026 and P = 0.036, respectively). ABCB1 heterozygotes showed the highest decrease in nadir hemoglobin (P = 0.006). The study suggests functional polymorphisms in SLCO1B3 and ABCB1 cooperatively influence docetaxel disposition.

Traits studied:Docetaxel pharmacokineticsDocetaxel toxicityHematological toxicityNasopharyngeal carcinomaNon-hematological toxicity
Evaluation of 64 candidate single nucleotide polymorphisms as risk factors for neural tube defects in a large Irish study population
AssociationN=2,079Tonia C. Carter et al.(2011)· American Journal of Medical Genetics Part A

This case-control and family-based study evaluated 64 SNPs in 34 genes for associations with spina bifida in 558 Irish case-families and 994 controls. Spina bifida was significantly associated with LEPR rs1805134 (GRR: 1.5, P = 0.0264) and COMT rs737865 (GRR: 1.4, P = 0.0206), with additional confirmations of previous findings in MTHFR 677C>T and other genes, suggesting roles for leptin signaling and methylation pathways in neural tube defect pathogenesis.

Traits studied:Neural tube defectsSpina bifida

Gene information from NCBI Gene. Variant classifications from ClinVar.

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