rs4148323

This is a missense variant in the UGT1A1 gene.

Key Literature Trait Associations

Irinotecan Toxicity

UGT1A1*6 (G71R) is a missense variant that reduces UGT1A1 catalytic activity. It is the most common reduced-function UGT1A1 allele in East Asian populations (15-25% allele frequency) and is important for irinotecan dosing in populations where *28 is less prevalent. UGT1A1*6 is also associated with neonatal hyperbilirubinemia and breast milk jaundice.

Spittle AJ et al. Motor impairments in children: More than just the clumsy child. Journal of Paediatrics and Child Health 54(10):1131-1135 (2018)
Allele A
OR
p
Candidate gene study

GWAS Catalog Trait Associations (1)

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

bilirubin 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 A
OR 0.30
p 2.0e-11
N 354,368
Major Consortium StudyLarge GWAS
multi-ancestry

ClinVar annotation

Drug Response
23 submitters38 publications

Gilbert syndrome; Lucey-Driscoll syndrome; BILIRUBIN, SERUM LEVEL OF, QUANTITATIVE TRAIT LOCUS 1; not specified; Irinotecan response; Crigler-Najjar syndrome, type II; not provided; Crigler-Najjar syndrome, type II;Lucey-Driscoll syndrome;Gilbert syndrome;BILIRUBIN, SERUM LEVEL OF, QUANTITATIVE TRAIT LOCUS 1;Crigler-Najjar syndrome type 1; UGT1A1-related disorder; Crigler-Najjar syndrome, type II;Lucey-Driscoll syndrome;Gilbert syndrome;Crigler-Najjar syndrome type 1; Crigler-Najjar syndrome type 1

View on ClinVar →

Research that mentions this SNP (7)

Association of the matrix metalloproteinase 3 (MMP3) single nucleotide polymorphisms with tendinopathies: case-control study in high-level athletes
Case reportNina Briški et al.(2021)· International Orthopaedics

This is a Turkish-language personalized nutrigenetics and epigenetics coaching report for individual Mehmet Efe Yildirim (Report No. 1332, dated 2023-11-21). The report analyzes the individual's genetic polymorphisms related to nutritional metabolism, food sensitivities, detoxification pathways, and other health-related traits, providing personalized dietary and lifestyle recommendations based on cited scientific literature. This is a direct-to-consumer genetic test report, not a peer-reviewed research study.

Traits studied:Alcohol metabolismAnxiety and panic disorderCaffeine sensitivityCholine metabolismCircadian rhythmExercise performanceFolate metabolismFood allergiesGluten sensitivityHistamine sensitivityHomocysteinemiaInflammatory markersLactose intoleranceLiver healthMicrobiota metabolismNFE2L2 pathwayObesity and weight managementOmega-3 metabolismPhase I detoxificationPhase II glutathione transferasePlant sterols metabolismRiboflavin metabolismSelenium metabolismSleep qualityUGT metabolismVitamin A metabolismVitamin B12 metabolismVitamin B6 metabolismVitamin C metabolismVitamin D metabolismVitamin K metabolismZinc metabolism
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
A Genome‐Wide Association Study for Serum Bilirubin Levels and Gene‐Environment Interaction in a Chinese Population
AssociationN=3,294Xiayun Dai et al.(2013)· Genetic Epidemiology

GWAS study of 3,294 European ancestry individuals from the eMERGE Network examining serum bilirubin and other liver function tests. Strong association signal at UGT1A1 locus (rs887829, beta=0.15, p=1.30×10^-118) confirmed in both adult and pediatric populations. Additional associations identified in SLCO1B1, SLCO1B3, TDRP, ZMYND8, and ABO locus. Phenome-wide analysis revealed protective effect of TA7 repeat against cerebrovascular disease (OR=0.75, p=0.0008).

Traits studied:ALTASTAlkaline phosphataseCerebrovascular diseaseGGTLiver function testsSerum bilirubin levels
Crigler-Najjar syndrome in The Netherlands: Identification of four novelUGT1A1alleles, genotype–phenotype correlation, and functional analysis of 10 missense mutants
FunctionalN=19Nina Sneitz et al.(2010)· Human Mutation

A study of 19 Crigler-Najjar syndrome patients from the Netherlands and Belgium identified 14 different UGT1A1 mutations (4 novel: c.571C>T/p.S191F, c.1160C>A/p.P387H, c.1205A>C/p.K402T, c.1491delG/p.A498X), with two founder mutations present in multiple unrelated patients. The UGT1A1*28 promoter polymorphism (rs5719145insTA) was linked to three structural mutations. Functional analysis of 10 missense mutants showed varying residual enzymatic activity (0-94% of wild-type) toward bilirubin and other substrates, providing insights into enzyme structure and genotype-phenotype correlation for clinical diagnosis.

Traits studied:Crigler-Najjar syndromeUnconjugated hyperbilirubinemia
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
Association of polymorphisms in four bilirubin metabolism genes with serum bilirubin in three Asian populations
AssociationN=2,060Rong Lin et al.(2009)· Human Mutation

This association study investigated polymorphisms in four bilirubin metabolism genes (UGT1A1, HMOX1, BLVRA, SLCO1B1) with serum total bilirubin (TBIL) levels in three Asian populations (502 Kazak, 769 Uyghur, 789 Han). The UGT1A1 (TA)n repeat polymorphism and rs4148323:G>A were strongly associated with TBIL levels across all three populations (P<0.005), with the (TA)7 allele and A allele associated with higher TBIL levels. The (GT)n repeat polymorphism in HMOX1 showed association only in the Uyghur population. The (TA)n repeat and rs4148323 variants together explained 3.9-9.8% of TBIL variation by population.

Traits studied:HyperbilirubinemiaTotal serum bilirubin levels

Gene information from NCBI Gene. Variant classifications from ClinVar.

Community Wiki

No community notes yet for this variant. Sign in to start one.

Comments

Sign in to join the discussion.

Loading comments…