Genetic variant

rs138326449 a variant in the APOC3 gene

rs138326449 is a single-letter difference in the APOC3 gene, on chromosome 11. ClinVar, the public archive of variant interpretations, lists it as conflicting interpretations: laboratories that have assessed it do not agree on whether it matters. It has been reported in connection with Coronary heart disease and Apolipoprotein c-III deficiency, among others. Carrying it does not, on its own, mean you have or will develop any condition.

What is this?

Your DNA is a long sequence of four letters. At a few million positions, people commonly differ by a single letter; each of those positions is called a SNP (“snip”), and rs138326449 is the catalogue number of one of them, in the APOC3 gene. Which letters you carry there — one copy from each parent — is your genotype.

APOC3 (apolipoprotein C3): This gene encodes a protein component of triglyceride (TG)-rich lipoproteins (TRLs) including very low density lipoproteins (VLDL), high density lipoproteins (HDL) and chylomicrons. The encoded protein plays a role in role in the metabolism of these TRLs through multiple modes.

Gene description from NCBI Gene

Why might it matter?

ClinVar records this variant as conflicting interpretations, meaning laboratories that have assessed it do not agree on whether it matters. A classification describes the variant, not you: what it means for one person depends on their genotype, their family history and often on other genes and circumstances.

Conditions it has been reported with

Listed in ClinVar submissions for this variant. Being listed is a report of an association, not a statement that the variant causes the condition in any given person.

Do I have this variant?

If you have taken a consumer DNA test (23andMe, AncestryDNA and similar), you can download its raw data file and check. Create a free account, upload the file, and this page will show the letters you carry at rs138326449, if your test read this position.

Connect this with your blood results

A gene is a fixed instruction; a blood test shows what your body is doing now. CheckMyBloods reads the two side by side, so a variant can be set against the markers it could plausibly affect.

Blood markers do not diagnose a genetic condition, and a variant does not explain a blood result on its own. Together, with symptoms and family history, they give a clinician context.

What should I do next?

  1. Find out whether you carry it. Reading about a variant says nothing about you until you know your genotype.
  2. Put it in context. Add your blood results, so the variant can be read against what your body is doing.
  3. Ask questions. Dr. Hemsworth, our AI assistant, can explain this variant and your results in plain English.
  4. Take anything that worries you to a professional. A GP or genetic counsellor can order a confirmatory test and interpret it with your history.

This page is general information drawn from public research databases. It cannot diagnose anything, and it is not a substitute for advice from a doctor or genetic counsellor who knows your history.

Technical details

dbSNP ID
rs138326449
Gene
APOC3
Position (GRCh38)
chr11:116830637
Variant type
snv
Consequence
splice donor variant
ClinVar classification
Conflicting classifications of pathogenicity

Genome-wide association studies (20)

TraitRisk alleleOR / betaP-valueStudy
Triglyceride levels — OR 1.26 2E-787 PubMed
HDL cholesterol levels — OR 0.99 1E-500 PubMed
Apolipoprotein A1 levels — OR 0.84 1E-325 PubMed
HDL cholesterol A OR 0.73 5E-134 PubMed
Monounsaturated fatty acids to total fatty acids percentage A — 4E-103 PubMed
Monounsaturated fatty acids to total fatty acids percentage A — 6E-97 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio A — 2E-88 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio A — 2E-83 PubMed
Omega-6 fatty acids to total fatty acids percentage A — 2E-74 PubMed
Omega-6 fatty acids to total fatty acids percentage A — 4E-66 PubMed
Monounsaturated fatty acids to total fatty acids percentage A — 6E-63 PubMed
Monounsaturated fatty acid levels A — 2E-59 PubMed
Monounsaturated fatty acids to total fatty acids percentage A — 3E-58 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio A — 1E-55 PubMed
Monounsaturated fatty acid levels A — 2E-55 PubMed
Polyunsaturated fatty acids to total fatty acids percentage A — 2E-53 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio A — 1E-51 PubMed
Polyunsaturated fatty acids to total fatty acids percentage A — 2E-49 PubMed
Red cell distribution width — OR 0.32 8E-49 PubMed
Omega-6 fatty acids to total fatty acids percentage A — 1E-47 PubMed

ClinVar submissions (4)

NM_000040.3(APOC3):c.55+1G>A
· 9 submitters
NM_000040.3(APOC3):c.55+1G>A
· 9 submitters
NM_000040.3(APOC3):c.55+1G>A
· 9 submitters
NM_000040.3(APOC3):c.55+1G>A
· 9 submitters

How common the less frequent letter is

gnomAD ALL
99.8%
1kG AFR
100%
1kG ALL
99.9%
1kG AMR
100%
1kG EAS
0.1%
1kG EUR
99.7%
1kG SAS
100%

Sources