Genetic variant

rs439401 a variant in the APOE gene

rs439401 is a single-letter difference in the APOE gene, on chromosome 19. ClinVar, the public archive of variant interpretations, lists it as drug response: linked to how the body handles certain medicines. It has been reported in connection with Warfarin response. 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 rs439401 is the catalogue number of one of them, in the APOE gene. Which letters you carry there — one copy from each parent — is your genotype.

APOE (apolipoprotein E): The protein encoded by this gene is a major apoprotein of the chylomicron. It binds to a specific liver and peripheral cell receptor, and is essential for the normal catabolism of triglyceride-rich lipoprotein constituents. This gene maps to chromosome 19 in a cluster with the related apolipoprotein C1 and C2 genes.

Gene description from NCBI Gene

This appears to be the snp on the Illumina Human 550 which is closest to rs4420638 [GWAS:Triglyceri...

From SNPedia

Why might it matter?

ClinVar records this variant as drug response, meaning linked to how the body handles certain medicines. 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 rs439401, 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 related to APOE

APOE variants affect lipid metabolism and cardiovascular risk. Monitor cholesterol panel.

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
rs439401
Gene
APOE
Position (GRCh38)
chr19:44911193
Variant type
snv
Consequence
non coding transcript exon variant
ClinVar classification
drug response

Genome-wide association studies (20)

TraitRisk alleleOR / betaP-valueStudy
Monounsaturated fatty acids to total fatty acids percentage T — 2E-49 PubMed
Monounsaturated fatty acids to total fatty acids percentage T — 1E-48 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio T — 8E-40 PubMed
Polyunsaturated fatty acids to monounsaturated fatty acids ratio T — 1E-39 PubMed
Height T β 0.008 9E-36 PubMed
Triglycerides T OR 5.5 1E-30 PubMed
Triglyceride levels T β 0.029 5E-21 PubMed
1-oleoyl-3-linoleoyl-glycerol (18:1/18:2) levels T β 0.096 1E-19 PubMed
Docosahexaenoic acid to total fatty acids percentage T — 6E-18 PubMed
Docosahexaenoic acid to total fatty acids percentage T — 8E-16 PubMed
Cholesteryl ester levels in HDL T β 0.031 2E-15 PubMed
Alzheimer's disease — OR 1.49 6E-14 PubMed
Triglyceride levels — — 1E-13 PubMed
HDL cholesterol levels T β 0.028 3E-13 PubMed
Serum metabolite levels (CMS) — β 0.047 6E-13 PubMed
Sphingomyelin_42:2_[M+H]1+ levels T OR 0.1 2E-12 PubMed
Sphingomyelin_38:1_[M+H]1+ levels T β 0.08 4E-11 PubMed
Triacylglyceride levels C β 0.08 6E-11 PubMed
Sphingomyelin_42:2_[M+OAc]1- levels T β 0.059 7E-11 PubMed
Aspartate aminotransferase levels C OR 6.41 1E-10 PubMed

How common the less frequent letter is

gnomAD ALL
28.2%
1kG AFR
12.2%
1kG ALL
40.5%
1kG AMR
48.4%
1kG EAS
55.6%
1kG EUR
38.1%
1kG SAS
42.1%

Sources