rs3135506

This is a variant in the APOA5 gene that changes a serine to an tryptophan.

GWAS Catalog Trait Associations (21)

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

apolipoprotein A-V measurement

Pietzner M et al. Mapping the proteo-genomic convergence of human diseases. Science (new York, N.y.) 374(6569):eabj1541 (2021)
Allele C
OR 1.49
p
N 10,708
Large GWAS
European

triglyceride measurement

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.24
p
N 355,577
Major Consortium StudyLarge GWAS
multi-ancestry
Allele C
OR 0.27
p 2.0e-159
N 99,432
Large GWAS
African American or Afro-Caribbean, African unspecified
Hoffmann TJ et al. A large electronic-health-record-based genome-wide study of serum lipids. Nature Genetics 50(3):401-413 (2018)
Allele C
OR 0.24
p 3.0e-182
N 94,674
Large GWAS
multi-ancestry
Allele C
OR 0.30
p 2.0e-13
N 22,000
Large GWAS
South Asian

fatty acid amount

Allele C
OR
p 9.0e-265
N 239,268
Large GWAS
European

apolipoprotein B measurement

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.11
p 3.0e-120
N 354,097
Major Consortium StudyLarge GWAS
multi-ancestry

total cholesterol measurement

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.11
p 6.0e-103
N 355,858
Major Consortium StudyLarge GWAS
multi-ancestry
Allele C
OR 0.11
p 2.0e-93
N 297,626
Major Consortium StudyLarge GWAS
multi-ancestry
Allele C
OR 0.10
p 8.0e-24
N 99,432
Large GWAS
African American or Afro-Caribbean, African unspecified
Hoffmann TJ et al. A large electronic-health-record-based genome-wide study of serum lipids. Nature Genetics 50(3):401-413 (2018)
Allele C
OR
β 0.086
p 1.0e-19
N 94,674
Large GWAS
multi-ancestry
Allele C
OR 0.23
p 3.0e-9
N 22,000
Large GWAS
South Asian

high density lipoprotein cholesterol measurement

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.11
p 9.0e-98
N 325,634
Major Consortium StudyLarge GWAS
multi-ancestry
Hoffmann TJ et al. A large electronic-health-record-based genome-wide study of serum lipids. Nature Genetics 50(3):401-413 (2018)
Allele C
OR
β 0.089
p 3.0e-36
N 94,674
Large GWAS
multi-ancestry

low density lipoprotein cholesterol measurement

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.10
p 7.0e-89
N 355,197
Major Consortium StudyLarge GWAS
multi-ancestry

vitamin D level

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele C
OR 0.06
p 7.0e-29
N 339,705
Major Consortium StudyLarge GWAS
multi-ancestry

saturated fatty acids to total fatty acids percentage

Zoodsma M et al. A genetic map of human metabolism across the allele frequency spectrum. Nature Genetics 57(10):2445-2455 (2025)
Allele C
OR 0.04
p 9.0e-23
N 450,015
Large GWAS
multi-ancestry
Allele C
OR 0.04
p 2.0e-9
N 199,732
Large GWAS
European

ClinVar annotation

Risk Factor★★★
2 submitters4 publications

Cardiovascular phenotype; Familial type 5 hyperlipoproteinemia; Hypertriglyceridemia 1; not specified

View on ClinVar →

Research that mentions this SNP (5)

Serum vitamins A and E as modifiers of lipid trait genetics in the National Health and Nutrition Examination Surveys as part of the Population Architecture using Genomics and Epidemiology (PAGE) study
AssociationN=5,576Logan Dumitrescu et al.(2012)· Human Genetics

This study investigated gene-environment interactions between 23 GWAS-identified lipid-associated SNPs and serum vitamins A and E in the National Health and Nutrition Examination Surveys (NHANES), including 5,576 participants across three racial/ethnic groups. Nine significant interactions were identified, with the most significant being APOB rs693×vitamin E associated with LDL-C in Mexican Americans (p=8.94×10⁻⁷). These nine interactions explained only 0.35-1.28% of variation in lipid traits, suggesting that gene-environment interactions account for modest proportions of the missing heritability in lipid metabolism.

Traits studied:HDL-C (High-Density Lipoprotein Cholesterol)LDL-C (Low-Density Lipoprotein Cholesterol)Triglycerides
Limited use of interleukin 28B in the setting of response-guided treatment with detailed on-treatment virological monitoring
ReviewAlessandra Mangia et al.(2011)· Hepatology

This is a special issue of the Italian medical journal BeAdfiles (September 2012) dedicated to genetic conditioning in HIV and hepatitis virus infections. It reviews the major genetic polymorphisms that influence disease progression, treatment response, and drug toxicity in HIV and chronic hepatitis B and C infections, with particular emphasis on IL28B polymorphisms (rs809917 and others) predicting HCV treatment response to interferon-alpha and ribavirin therapy, and ITPA gene variants protecting against ribavirin-induced anemia. The issue also covers pharmacogenetic markers (CYP2B6, ABCB1, HLA-B*5701) and their clinical applications in antiretroviral therapy.

Traits studied:AIDS progressionAntiretroviral therapy toxicityChronic hepatitis C sustained virological responseCreutzfeldt-Jakob diseaseDyslipidemiaEfavirenz side effectsHIV infection and progressionHepatitis B virus infectionHepatitis C genotype 1 response to interferonHepatitis C virus infectionHyperbilirubinemiaLeprosyLipodystrophyNeisseria meningitidis infectionNorovirus diarrheaPlasmodium falciparum malariaPlasmodium vivax malariaRenal impairmentRibavirin-induced anemiaTreatment response to interferon and ribavirinTuberculosis
The association of common genetic variants in the APOA5, LPL and GCK genes with longitudinal changes in metabolic and cardiovascular traits
AssociationN=4,554Webster RJ et al.(2009)· Diabetologia

This longitudinal study of 4,554 participants from the Busselton Health Survey examined associations between four SNPs in APOA5, LPL, and GCK genes with glucose and lipid traits over time. Cross-sectional analyses confirmed that GCK rs1799884 was associated with fasting glucose (beta=0.01, p=0.003), APOA5 rs662799 and rs3135506 with triacylglycerol levels (p<0.0001), and LPL rs328 with reduced triacylglycerol and raised HDL-C. Longitudinal analyses (n=2,864) showed these genetic effects on lipid and glucose traits remain stable with age during adulthood.

Traits studied:HDL-cholesterolLDL-cholesterolfasting glucosefasting insulininsulin resistancetriacylglyceroltype 2 diabetes
Risk variants for atrial fibrillation on chromosome 4q25 associate with ischemic stroke
ReviewGretarsdottir S. et al.(2008)· Annals of Neurology

This review examines 15 years of ischemic stroke susceptibility gene research, organized into three periods: early candidate gene studies (1985-1995) testing variants in hemostasis and homocysteine metabolism genes; expansion period with functional variants discovered from other diseases tested on larger stroke cohorts; and current GWAS-driven large-scale genotyping studies. Key findings include identification of susceptibility loci in CELSR1 (rs6007897, rs4044210 in Japanese populations), PITX2 (rs2200733, rs10033464), and other genes involved in lipid metabolism (APOA5, APOCIII, MLXIPL) and signal transduction (PDE4D, ALOX5AP), with evidence that alleles are often shared across diseases and that careful clinical stratification is critical.

Traits studied:Atrial fibrillationCardioembolic strokeCerebral artery diseaseIschemic strokeLarge-vessel atherosclerotic strokeMyocardial infarctionSmall-vessel occlusion strokeThromboembolismVenous thrombosis
APOA5 gene variation modulates the effects of dietary fat intake on body mass index and obesity risk in the Framingham Heart Study
AssociationN=2,280Corella D. et al.(2007)· Journal of Molecular Medicine

In 1,073 men and 1,207 women from the Framingham Offspring Study, the APOA5 -1131T>C polymorphism showed a significant gene-diet interaction with total fat intake in determining BMI and obesity risk (OR=0.61, 95% CI=0.39-0.98 for obesity in high-fat consumers). Carriers of the -1131C minor allele showed no increase in BMI with higher fat intake, while TT homozygotes showed increased BMI with increasing fat intake. The 56C>G (S19W) polymorphism did not show this interaction.

Traits studied:Body mass index (BMI)Dietary fat intakeObesityOverweight

About APOA5

The protein encoded by this gene is an apolipoprotein that plays an important role in regulating the plasma triglyceride levels, a major risk factor for coronary artery disease. It is a component of high density lipoprotein and is highly similar to a rat protein that is upregulated in response to liver injury. Mutations in this gene have been associated with hypertriglyceridemia and hyperlipoproteinemia type 5. This gene is located proximal to the apolipoprotein gene cluster on chromosome 11q23. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Oct 2009]

View all APOA5 variants →

Gene information from NCBI Gene. Variant classifications from ClinVar.

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