rs2242480

This is a upstream gene variant variant in the CYP3A4 gene.

ClinVar annotation

Drug Response★★★★
1 submitter18 publications

fentanyl response - Dosage; tacrolimus response - Metabolism/PK

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Research that mentions this SNP (6)

Association between variants in vitamin D‐binding protein gene and vitamin D deficiency among pregnant women in china
AssociationN=815Jinju Dong et al.(2020)· Journal of Clinical Laboratory Analysis

This case-control association study of 815 Chinese pregnant women identified five SNPs in the GC (vitamin D-binding protein) gene significantly associated with serum 25-hydroxyvitamin D concentration: rs17467825, rs4588, rs2282679, rs2298850, and rs1155563. Mean 25(OH)D level was 15.67±7.98 ng/mL with 75% prevalence of deficiency. An XGBoost model incorporating these SNPs plus environmental factors achieved AUC 0.828 for predicting 25(OH)D deficiency risk. The study suggests maternal vitamin D deficiency may increase macrosomia risk (12 of 16 macrosomic infants had deficient mothers).

Traits studied:25-hydroxyvitamin D concentrationMacrosomiaVitamin D deficiency
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
Role of pharmacogenetics on adjuvant chemotherapy-induced neutropenia in Chinese breast cancer patients
AssociationN=311Nelson L. S. Tang et al.(2013)· Journal of Cancer Research and Clinical Oncology

This pharmacogenetic study examined SNPs in NR1I2, CYP3A4, and CYP3A5 genes in 311 Chinese breast cancer patients undergoing AC (doxorubicin/cyclophosphamide) chemotherapy. The CYP3A5*3 variant rs776746 showed strong association with grade 4 chemotherapy-induced neutropenia in multivariate analysis (OR=2.56, P=0.023), with a 3.14-fold increased risk in A-allele carriers with normal baseline ANC (P=0.004). The study demonstrates gene-environment interaction in chemotherapy toxicity prediction.

Traits studied:Chemotherapy-induced neutropeniaGrade 4 neutropeniaMyelotoxicity from adjuvant chemotherapy
Influence of neurexin 1 (NRXN1) polymorphisms in clozapine response
ReviewRenan P. Souza et al.(2010)· Human Psychopharmacology: Clinical and Experimental

This systematic review of 98 studies examined biological predictors of clozapine response in treatment-resistant schizophrenia patients. Of 379 different gene variants investigated across 70 genetic studies, only three variants (DRD3 Ser9Gly rs6280, HTR2A His452Tyr, and GNB3 C825T) achieved independent replication. Non-genetic predictors included higher prefrontal cortical volumes and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
Lack of association of GPX1 and MnSOD genes with symptom severity and response to clozapine treatment in schizophrenia subjects
ReviewRenan P. Souza et al.(2009)· Human Psychopharmacology: Clinical and Experimental

A systematic review of 98 studies investigating biological predictors of clozapine response in treatment-resistant schizophrenia. Of 70 genetic studies examining 379 variants, only three genetic variants have independently replicated findings: DRD3 Ser9Gly (rs6280), HTR2A His452Tyr, and GNB3 C825T (rs5442/rs5443). Non-genetic predictors include higher prefrontal cortical structural integrity and activity, and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
Genetic polymorphisms in CYP17, CYP3A4, CYP19A1, SRD5A2, IGF‐1, and IGFBP‐3 and prostate cancer risk in African‐American men: The Flint Men's Health Study
AssociationN=473Aruna V. Sarma et al.(2008)· The Prostate

A population-based case-control study of 473 African-American men (131 prostate cancer cases, 342 controls) examined SNP associations in six genes involved in androgen and IGF-1 pathways. Significant associations were found between prostate cancer and CYP17 SNPs rs6163, rs6162, and rs743572, with heterozygotes showing decreased risk (P=0.0014, 0.0018, 0.0028). Suggestive evidence for association was found between IGF-1 SNP rs5742657 and prostate cancer (P=0.058 genotype; P=0.02 allelic test). No significant associations were observed for SNPs in CYP3A4, CYP19A1, SRD5A2, or IGFBP-3 genes.

Traits studied:Prostate cancer

About CYP3A4

This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases that catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and its expression is induced by glucocorticoids and some pharmacological agents. This enzyme is involved in the metabolism of approximately half the drugs in use today, including acetaminophen, codeine, cyclosporin A, diazepam, erythromycin, and chloroquine. The enzyme also metabolizes some steroids and carcinogens. This gene is part of a cluster of cytochrome P450 genes on chromosome 7q21.1. Previously another CYP3A gene, CYP3A3, was thought to exist; however, it is now thought that this sequence represents a transcript variant of CYP3A4. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Aug 2020]

View all CYP3A4 variants →

Gene information from NCBI Gene. Variant classifications from ClinVar.

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