Genetic variant

rs4986893 a variant in the CYP2C19 gene

rs4986893 is a single-letter difference in the CYP2C19 gene, on chromosome 10. 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 Mephenytoin and Poor metabolism of, 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 rs4986893 is the catalogue number of one of them, in the CYP2C19 gene. Which letters you carry there — one copy from each parent — is your genotype.

CYP2C19 (cytochrome P450 family 2 subfamily C member 19): This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids.

Gene description from NCBI Gene

rs4986893 is a SNP in the CYP2C19 gene, potentially encoding the CYP2C19*3 variant. This variant has...

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 rs4986893, 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
rs4986893
Gene
CYP2C19
Position (GRCh38)
chr10:94780652
Variant type
snv
Consequence
stop gained
ClinVar classification
drug response

ClinVar submissions (7)

NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters
NM_000769.1(CYP2C19):c.636G>A (p.Trp212Ter)
· 7 submitters

How common the less frequent letter is

gnomAD ALL
99.7%
1kG AFR
99.8%
1kG ALL
98.6%
1kG AMR
100%
1kG EAS
94.4%
1kG EUR
100%
1kG SAS
98.8%

Sources