General Information of Drug Transporter (DT)
DT ID DTD0036 Transporter Info
Gene Name ABCA1
Protein Name ATP-binding cassette sub-family A member 1
Gene ID
19
UniProt ID
O95477
Genetic Polymorphisms of DT (GPD)
Genetic Polymorphism rs12003906
Site of GPD chr9:104883196 (GRCh38.p12)
GPD Type SNP
Allele(s) in dbSNP G>C / G>T
Minor Allele Frequency T=0.0665/333 (Global)
 Allele C Click to Show/Hide the Full List of Affected Drugs:           9 Drugs in Total
Atorvastatin Drug Info Hyperlipidemias Correlated with the decreased drug response in patients (compare with Allele G) [ 1]
Pravastatin Drug Info Hyperlipidemias Correlated with the decreased drug response in patients (compare with Allele G) [ 1]
Simvastatin Drug Info Hyperlipidemias Correlated with the decreased drug response in patients (compare with Allele G) [ 1]
Atorvastatin N.A. Cardiotoxicity Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
Pravastatin N.A. Cardiotoxicity Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
Simvastatin N.A. Cardiotoxicity Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
Atorvastatin N.A. Hyperlipidemias Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
Pravastatin N.A. Hyperlipidemias Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
Simvastatin N.A. Hyperlipidemias Allele C is associated with decreased response to atorvastatin, pravastatin or simvastatin in people with Hyperlipidemias as compared to allele G. [ 1]
 Genotype CC Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Atorvastatin N.A. Hyperlipidemias Patients with the CC genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Pravastatin N.A. Hyperlipidemias Patients with the CC genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Simvastatin N.A. Hyperlipidemias Patients with the CC genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
 Genotype CG Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Atorvastatin N.A. Hyperlipidemias Patients with the CG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype or may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Pravastatin N.A. Hyperlipidemias Patients with the CG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype or may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Simvastatin N.A. Hyperlipidemias Patients with the CG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a reduced response (less reduction in LDL-cholesterol) as compared to patients with the GG genotype or may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
 Genotype GG Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Atorvastatin N.A. Hyperlipidemias Patients with the GG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Pravastatin N.A. Hyperlipidemias Patients with the GG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Simvastatin N.A. Hyperlipidemias Patients with the GG genotype and Hyperlipidemia who are treated with atorvastatin, pravastatin or simvastatin may have a better response (a higher reduction in LDL-cholesterol) as compared to patients with the CC genotype. Other genetic and clinical factors may also influence a patient's response to statin treatment. [ 1]
Genetic Polymorphism rs2230806
Site of GPD chr9:104858586 (GRCh38.p12)
GPD Type SNP
Allele(s) in dbSNP C>T
Minor Allele Frequency T=0.4397/2202 (Global)
 Genotype TT Click to Show/Hide the Full List of Affected Drugs:           9 Drugs in Total
Pravastatin Drug Info Coronary Disease Correlated with the increased HDL-cholesterol in patients (compare with genotype CC) [ 2]
Fenofibrate Drug Info Hypertriglyceridemia Correlated with the increased drug response in patients (compare with genotype CC) [ 3]
Fenofibrate N.A. Cardiotoxicity Genotype TT is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype CC. [ 3]
Pravastatin N.A. Cardiotoxicity Genotype TT is associated with increased HDL-cholesterol when treated with pravastatin in people with Coronary Disease as compared to genotype CC. [ 2]
Atorvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 TT genotype may have a decreased response to atorvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to atorvastatin. [ 4]
Rosuvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 TT genotype may have a decreased response to rosuvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to rosuvastatin. [ 4]
Simvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 TT genotype may have a decreased response to simvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to simvastatin. [ 4]
Pravastatin N.A. Coronary Disease Genotype TT is associated with increased HDL-cholesterol when treated with pravastatin in people with Coronary Disease as compared to genotype CC. [ 2]
Fenofibrate N.A. Hypertriglyceridemia Genotype TT is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype CC. [ 3]
 Genotype CT Click to Show/Hide the Full List of Affected Drugs:           7 Drugs in Total
Fenofibrate Drug Info Hypertriglyceridemia Correlated with the increased drug response in patients (compare with genotype CC) [ 3]
Fenofibrate N.A. Cardiotoxicity Genotype CT is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype CC. [ 3]
Atorvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CT genotype may have a decreased response to atorvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to atorvastatin. [ 4]
Rosuvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CT genotype may have a decreased response to rosuvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to rosuvastatin. [ 4]
Simvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CT genotype may have a decreased response to simvastatin as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to simvastatin. [ 4]
Pravastatin N.A. Coronary Disease Patients with the CT genotype and Coronary Disease who are treated with pravastatin may have a better response (increased HDL-cholesterol) as compared to patients with the CC genotype or may have a reduced response (lower increases in HDL-cholesterol) as compared to patients with the TT genotype. Other genetic and clinical factors may also influence a patient's response to pravastatin treatment. [ 2]
Fenofibrate N.A. Hypertriglyceridemia Genotype CT is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype CC. [ 3]
 Allele T Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Atorvastatin N.A. Major Depressive Disorder Allele T is associated with decreased response to atorvastatin, rosuvastatin or simvastatin as compared to allele C. [ 4]
Rosuvastatin N.A. Major Depressive Disorder Allele T is associated with decreased response to atorvastatin, rosuvastatin or simvastatin as compared to allele C. [ 4]
Simvastatin N.A. Major Depressive Disorder Allele T is associated with decreased response to atorvastatin, rosuvastatin or simvastatin as compared to allele C. [ 4]
 Genotype CC Click to Show/Hide the Full List of Affected Drugs:           5 Drugs in Total
Atorvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CC genotype may have an increased response to atorvastatin as compared to patients with the CT or TT genotypes. Other genetic and clinical factors may also influence response to atorvastatin. [ 4]
Rosuvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CC genotype may have an increased response to rosuvastatin as compared to patients with the CT or TT genotypes. Other genetic and clinical factors may also influence response to rosuvastatin. [ 4]
Simvastatin N.A. Hypertriglyceridemia Patients with the rs2230806 CC genotype may have an increased response to simvastatin as compared to patients with the CT or TT genotypes. Other genetic and clinical factors may also influence response to simvastatin. [ 4]
Pravastatin N.A. Coronary Disease Patients with the CC genotype and Coronary Disease who are treated with pravastatin may have a reduced response (lower increases in HDL-cholesterol) as compared to patients with the TT genotype. Other genetic and clinical factors may also influence a patient's response to pravastatin treatment. [ 2]
Fenofibrate N.A. Hypertriglyceridemia Patients with the CC genotype and hypertriglyceridemia may have a decreased response when treated with fenofibrate as compared to patients with the CT genotype. Other genetic and clinical factors may also influence response to fenofibrate. [ 3]
Genetic Polymorphism rs2230808
Site of GPD chr9:104800523 (GRCh38.p12)
GPD Type SNP
Allele(s) in dbSNP T>C
Minor Allele Frequency T=0.4617/2312 (Global)
 Genotype CC Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Fenofibrate Drug Info Hypertriglyceridemia Correlated with the increased drug response in patients (compare with Genotype TT) [ 3]
Fenofibrate N.A. Cardiotoxicity Genotype CC is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype TT. [ 3]
Fenofibrate N.A. Hypertriglyceridemia Genotype CC is associated with increased response to fenofibrate in people with Hypertriglyceridemia as compared to genotype TT. [ 3]
 Genotype CT Click to Show/Hide the Full List of Affected Drugs:           1 Drugs in Total
Fenofibrate N.A. Hypertriglyceridemia Patients with the CT genotype and hypertriglyceridemia may have an increased response when treated with fenofibrate as compared to patients with the TT genotype, or a decreased response when treated with fenofibrate as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to fenofibrate. [ 3]
 Genotype TT Click to Show/Hide the Full List of Affected Drugs:           1 Drugs in Total
Fenofibrate N.A. Hypertriglyceridemia Patients with the TT genotype and hypertriglyceridemia may have a decreased response when treated with fenofibrate as compared to patients with the CC genotype. Other genetic and clinical factors may also influence response to fenofibrate. [ 3]
Genetic Polymorphism rs3887137
Site of GPD chr9:104936331 (GRCh38.p12)
GPD Type SNP
Allele(s) in dbSNP C>A / C>G / C>T
Minor Allele Frequency C=0.8810/1743 (Global)
 Allele T Click to Show/Hide the Full List of Affected Drugs:           2 Drugs in Total
Daunorubicin N.A. Cardiotoxicity Allele T is associated with increased likelihood of cardiotoxicity when treated with daunorubicin or doxorubicin in children with Neoplasms as compared to allele C. [ 5]
Doxorubicin N.A. Cardiotoxicity Allele T is associated with increased likelihood of cardiotoxicity when treated with daunorubicin or doxorubicin in children with Neoplasms as compared to allele C. [ 5]
Genetic Polymorphism rs2487032
Site of GPD chr9:104941653 (GRCh38.p12)
GPD Type SNP
Allele(s) in dbSNP G>A / G>C
Minor Allele Frequency G=0.3952/1979 (Global)
 Allele A Click to Show/Hide the Full List of Affected Drugs:           1 Drugs in Total
Clopidogrel N.A. Cardiotoxicity Allele A is associated with increased metabolism of clopidogrel as compared to genotype GG. [ 6]
Genetic Polymorphism rs769705621
Site of GPD chr9:104794511 (GRCh38.p12)
GPD Type Indel
Allele(s) in dbSNP A / AA / AAA / AAAA
 Genotype AAAA Click to Show/Hide the Full List of Affected Drugs:           3 Drugs in Total
Atorvastatin N.A. Cardiotoxicity Allele AAAA is associated with decreased response to atorvastatin, rosuvastatin or simvastatin in people with familial hypercholesterolemia as compared to genotypes A/AA + A/del. [ 7]
Rosuvastatin N.A. Cardiotoxicity Allele AAAA is associated with decreased response to atorvastatin, rosuvastatin or simvastatin in people with familial hypercholesterolemia as compared to genotypes A/AA + A/del. [ 7]
Simvastatin N.A. Cardiotoxicity Allele AAAA is associated with decreased response to atorvastatin, rosuvastatin or simvastatin in people with familial hypercholesterolemia as compared to genotypes A/AA + A/del. [ 7]
References
1 Pharmacogenetic predictors of statin-mediated low-density lipoprotein cholesterol reduction and dose response. Circ Cardiovasc Genet. 2008 Dec;1(2):100-6.
2 Effect of R219K polymorphism of the ABCA1 gene on the lipid-lowering effect of pravastatin in Chinese patients with coronary heart disease. Clin Exp Pharmacol Physiol. 2009 May;36(5-6):567-70.
3 Effect of fenofibrate therapy and ABCA1 polymorphisms on high-density lipoprotein subclasses in the Genetics of Lipid Lowering Drugs and Diet Network. Mol Genet Metab. 2010 Jun;100(2):118-22.
4 Genetic contribution to lipid target achievement with statin therapy: a prospective study. Pharmacogenomics J. 2020 Jun;20(3):494-504.
5 Genetic variants in SLC22A17 and SLC22A7 are associated with anthracycline-induced cardiotoxicity in children. Pharmacogenomics. 2015;16(10):1065-76.
6 Genomewide Association Study Identifies Novel Genetic Loci That Modify Antiplatelet Effects and Pharmacokinetics of Clopidogrel. Clin Pharmacol Ther. 2017 Jun;101(6):791-802.
7 Predicted deleterious variants in ABCA1, LPL, LPA and KIF6 are associated with statin response and adverse events in patients with familial hypercholesterolemia and disturb protein structure and stability. Pharmacogenet Genomics. 2024 Jun 01;34(4):91-104.

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