rs776746

This is a splice variant variant in the CYP3A5 gene.

Key Literature Trait Associations

Tacrolimus Metabolism

CYP3A5*3 is a splice variant that creates a cryptic splice site producing a truncated, non-functional protein. It is the most common CYP3A5 variant — 85-95% of Europeans are homozygous *3/*3 (CYP3A5 non-expressors). Individuals who carry at least one *1 allele (CYP3A5 expressors) metabolize tacrolimus significantly faster and require higher doses. CPIC guidelines recommend genotype-guided tacrolimus dosing based on CYP3A5 status.

Allele G
OR
p
Candidate gene study

GWAS Catalog Trait Associations (5)

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

X-12063 measurement

Allele T
OR 0.99
p
N 14,296
Large GWAS
European

metabolonic lactone sulfate measurement

Allele C
OR 0.93
p 6.0e-218
N 8,203
Large GWAS
European
Allele C
OR 1.07
p 2.0e-135
N 4,811
Large GWAS
European

metabolite measurement

Allele C
OR 1.09
p 2.0e-182
N 6,992
Large GWAS
European
Allele C
OR 0.80
p 5.0e-149
N 4,843
Large GWAS
European

tacrolimus measurement

Allele T
OR 0.13
p 1.0e-15
N 251
Small GWAS
East Asian

urinary metabolite measurement

Allele T
OR 0.01
p 3.0e-18
N 1,221
Large GWAS

ClinVar annotation

Risk Factor
4 submitters6 publications

Hypertension, salt-sensitive essential, susceptibility to; Tacrolimus response; refractory myasthenia gravis

View on ClinVar →

Research that mentions this SNP (8)

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
Association of CYP2R1 rs10766197 with MS risk and disease progression
ReviewConcetta Scazzone et al.(2018)· Journal of Neuroscience Research

This systematic review examines the role of cytochrome P450 (CYP) gene polymorphisms in the pathogenesis and development of ulcerative colitis. The authors discuss ten critical CYP isoforms (CYP1A1, CYP2D6, CYP2J2, CYP2R1, CYP3A4/3A5/3A7, CYP4F3, CYP24A1, CYP26B1, and CYP27B1) and their genetic variants associated with UC susceptibility and drug metabolism. Notable findings include CYP1A1*2A correlation with UC predisposition, CYP2D6*4 polymorphisms increasing UC risk (OR=1.56), CYP2J2 promoter polymorphism (G-50T) enrichment in UC patients, CYP24A1 variants (rs4809957, rs6068816, rs6091822, rs8124792) showing significant associations in East Asian populations, and CYP27B1 induction in UC lesions.

Traits studied:Crohn's diseaseInflammatory bowel diseaseUlcerative colitis
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
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
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
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
Joint effects of inflammation and androgen metabolism on prostate cancer severity
AssociationN=1,090Rebbeck TR et al.(2008)· International Journal of Cancer

A case-control study of 1,090 Caucasian prostate cancer cases examined interactions between genes involved in androgen metabolism/inflammation and benign prostatic hyperplasia (BPH) history on prostate cancer severity. Significant interactions were observed with CYP3A43 P340A (rs680055) and BPH on both Gleason grade (OR=1.82, 95% CI: 1.15–2.87; interaction p=0.026) and tumor stage (OR=3.50, 95% CI: 1.21–10.17; interaction p=0.017), suggesting that androgen metabolism and inflammatory phenotypes act together in determining prostate cancer severity.

Traits studied:Benign prostatic hyperplasiaGleason gradeProstate cancer severityTumor stage

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…