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CYP3A5

Drugs affected by CYP3A5

Cytochrome P450 3A5

1 medication 1 brand product

About CYP3A5

CYP3A5 contributes to tacrolimus metabolism. People who express functional CYP3A5 can have different dose requirements from nonexpressers. CPIC guidance uses the inferred phenotype alongside therapeutic drug monitoring.[1]

The v4 definitions distinguish allele function and phenotype consistently. The result informs initial treatment; measured tacrolimus concentrations and clinical response remain necessary.

What we test for CYP3A5

Gene2Rx uses definitions covering 15 named CYP3A5 star alleles, built from 10 variants in PharmVar. Results depend on the variants available in your upload.

15
Star alleles
10
Defined variants
PharmVar
Source
GRCh38
Genome build
Normal Function 1 No Function 7 Unknown 7

Notable CYP3A5 alleles

*1 Normal Function
An expressor allele — carriers produce functional CYP3A5 and metabolize tacrolimus rapidly.
*3 No Function
A non-expressor allele; the most common allele in Europeans, dramatically reducing tacrolimus clearance.
~90% in Europeans
What are star alleles?

Star alleles (like *1, *2, *4) are standardized names for distinct versions of a pharmacogene. *1 is the reference; other numbers identify distinct allele definitions. A higher number does not mean lower function.

You inherit one allele from each parent, so your genotype is a pair (e.g. *1/*4). The pair determines your predicted phenotype — for example, whether you metabolize a drug at a normal, decreased, or no-function rate.

PharmVar is the international registry that defines and curates these allele names. Gene2Rx uses the supported definitions summarized here. Coverage depends on the variants present in your input; this is not a guarantee that every cataloged allele can be identified.

Medications with CYP3A5 information

This list contains 1 medication with CYP3A5 information from the sources shown below. Evidence and report eligibility differ by drug; each page explains its scope and limitations.

Brand products containing a CYP3A5-affected ingredient

These branded medications include at least one active ingredient whose metabolism or action involves CYP3A5. Each links to its full pharmacogenetic breakdown.

References

  1. U.S. Food and Drug Administration. Table of Pharmacogenomic Biomarkers in Drug Labeling (2024). fda.gov
  2. PharmGKB / Stanford University. PharmGKB: The Pharmacogenomics Knowledge Base. pharmgkb.org

Explore CYP3A5 in your report

A Gene2Rx report interprets supported variants in the context of your data and purchased report. Missing or uncertain calls may prevent an assessment.

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Informational only, not medical advice. The presence of a CYP3A5 pharmacogenetic guideline does not mean every patient needs to change their dose. Never start, stop, or change a medication without talking to your prescribing clinician.

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