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)