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VKORC1

Drugs affected by VKORC1

Vitamin K Epoxide Reductase Complex Subunit 1

1 medication 1 brand product

About VKORC1

VKORC1 is warfarin's molecular target. A common promoter variant determines how much VKORC1 your liver produces, and therefore how much warfarin it takes to block the vitamin K cycle enough to thin your blood.[1]

The combination of your VKORC1 and CYP2C9 genotypes explains more than half of the variation in warfarin dose between individuals.[2]

What we test for VKORC1

Gene2Rx uses definitions covering 2 named VKORC1 alleles, built from 1 variant in Gene2Rx definitions. Results depend on the variants available in your upload.

2
Named alleles
1
Defined variants
Gene2Rx definitions
Source
GRCh38
Genome build
Normal expression 1 Decreased expression 1

Notable VKORC1 alleles

-1639G Normal expression
Reference allele — normal VKORC1 expression; standard warfarin sensitivity.
-1639A Decreased expression
Decreased-expression allele; carriers need lower warfarin doses to reach the same anticoagulant effect.
~40% in Europeans, ~90% in East Asians
What do these allele names mean?

VKORC1 alleles are named by the underlying DNA variant rather than a star number. For example, c.61C>T describes a single base change at position 61 of the coding sequence.

DNA variant labels identify sequence differences. Their interpretation depends on the particular gene, the evidence, and the variants that can be assessed in your data. A DNA result does not directly measure enzyme activity.

The source of these definitions is listed above. Missing variants or incomplete coverage can leave a result indeterminate.

Medications with VKORC1 information

This list contains 1 medication with VKORC1 information from the sources shown below. Evidence and report eligibility differ by drug; each page explains its scope and limitations.

blood thinners

Brand products containing a VKORC1-affected ingredient

These branded medications include at least one active ingredient whose metabolism or action involves VKORC1. Each links to its full pharmacogenetic breakdown.

References

  1. CPIC. CPIC Guideline for Pharmacogenetics-Guided Warfarin Dosing (CYP2C9, VKORC1, CYP4F2) (2017). cpicpgx.org
  2. PharmGKB / Stanford University. PharmGKB: The Pharmacogenomics Knowledge Base. pharmgkb.org

Explore VKORC1 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 VKORC1 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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