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NAT2

Drugs affected by NAT2

N-acetyltransferase 2

1 medication 0 brand products

About NAT2

NAT2 helps metabolize hydralazine. Its inherited variants can produce slow, intermediate, or rapid acetylation, changing exposure at a given dose. CPIC provides hydralazine guidance based on the inferred acetylator phenotype.[1]

In this report, poor metabolizer corresponds to slow acetylator. Dose selection still depends on blood pressure, tolerability, and the clinical indication.

What we test for NAT2

Gene2Rx uses definitions covering 59 named NAT2 star alleles, built from 47 variants in PharmVar. Results depend on the variants available in your upload.

59
Star alleles
47
Defined variants
PharmVar
Source
GRCh38
Genome build
Decreased function 40 Increased function 2 Uncertain function 10 Unknown function 7
Supported NAT2 definitions
  • *1: Increased function
  • *4: Increased function
  • *5: Decreased function
  • *6: Decreased function
  • *7: Decreased function
  • *10: Uncertain function
  • *14: Decreased function
  • *15: Decreased function
  • *16: Decreased function
  • *19: Decreased function
  • *21: Uncertain function
  • *27: Uncertain function
  • *29: Decreased function
  • *30: Decreased function
  • *31: Decreased function
  • *32: Decreased function
  • *33: Decreased function
  • *34: Decreased function
  • *35: Decreased function
  • *36: Decreased function
  • *37: Decreased function
  • *38: Decreased function
  • *39: Decreased function
  • *40: Decreased function
  • *41: Uncertain function
  • *42: Uncertain function
  • *43: Uncertain function
  • *44: Uncertain function
  • *45: Uncertain function
  • *46: Decreased function
  • *47: Decreased function
  • *48: Decreased function
  • *49: Decreased function
  • *50: Decreased function
  • *51: Uncertain function
  • *52: Decreased function
  • *53: Decreased function
  • *54: Uncertain function
  • *55: Unknown function
  • *56: Decreased function
  • *57: Unknown function
  • *58: Decreased function
  • *59: Decreased function
  • *60: Unknown function
  • *61: Unknown function
  • *62: Decreased function
  • *63: Decreased function
  • *64: Decreased function
  • *65: Unknown function
  • *66: Decreased function
  • *67: Decreased function
  • *68: Decreased function
  • *69: Decreased function
  • *70: Decreased function
  • *71: Unknown function
  • *72: Decreased function
  • *73: Decreased function
  • *74: Unknown function
  • *75: Decreased function
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 NAT2 information

This list contains 1 medication with NAT2 information from the sources shown below. Evidence and report eligibility differ by drug; each page explains its scope and limitations.

antihypertensives

References

  1. Primary source. CPIC: NAT2 genotype and hydralazine therapy (2025). files.cpicpgx.org

Explore NAT2 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 NAT2 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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