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. Author manuscript; available in PMC: 2017 Feb 6.
Published in final edited form as: Genet Med. 2016 Jul 21;19(2):215–223. doi: 10.1038/gim.2016.87

Table 2. Final consensus terms for allele functional status and phenotype.

Term/Gene
Category
Final Term* Functional Definition Genetic Definition Example
diplotypes/alleles
Allele
Functional
Status-all genes
Increased Function Function greater than normal function N/A CYP2C19*17
Normal Function Fully functional/wild-type N/A CYP2C19*1
Decreased Function Function less than normal function N/A CYP2C19*9
No Function Non-functional N/A CYP2C19*2
Unknown Function No literature describing function or the
allele is novel
N/A CYP2C19*29
Uncertain Function Literature supporting function is
conflicting or weak
N/A CYP2C19*12
Phenotype-
Drug
Metabolizing
Enzymes
(CYP2C19,
CYP2D6,
CYP3A5,
CYP2C9,
TPMT, DPYD,
UGT1A1)
Ultra-rapid
Metabolizer
Increased enzyme activity compared to
rapid metabolizers.
Two increased function alleles, or
more than 2 normal function
alleles
CYP2C19*17/*17
CYP2D6*1/*1XN
Rapid Metabolizer Increased enzyme activity compared to
normal metabolizers but less than ultra-
rapid metabolizers.
Combinations of normal function
and increased function alleles
CYP2C19*1/*17
Normal Metabolizer Fully functional enzyme activity Combinations of normal function
and decreased function alleles
CYP2C19*1/*1
Intermediate
Metabolizer
Decreased enzyme activity (activity
between normal and poor metabolizer)
Combinations of normal function,
decreased function, and/or no
function alleles
CYP2C19*1/*2
Poor Metabolizer Little to no enzyme activity Combination of no function
alleles and/or decreased function
alleles
CYP2C19*2/*2
Phenotype-
Transporters
(SLCO1B1)
Increased Function Increased transporter function compared
to normal function.
One or more increased function
alleles
SLCO1B1*1/*14
Normal Function Fully functional transporter function Combinations of normal function
and/or decreased function alleles
SLCO1B1*1/*1
Decreased Function Decreased transporter function (function
between normal and poor function)
Combinations of normal function,
decreased function, and/or no
function alleles
SLCO1B1*1/*5
Poor Function Little to no transporter function Combination of no function
alleles and/or decreased function
alleles
SLCO1B1*5/*5
Phenotype-
High risk
genotype status
(HLA-B)
Positive Detection of high-risk allele Homozygous or heterozygous for
high-risk allele
HLA-B*15:02
Negative High risk-allele not detected No copies of high-risk allele
*

All terms should begin with the gene name (e.g., CYP2D6 Poor metabolizer, TPMT Normal metabolizer, SLCO1B1 Decreased Function)