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rs1801274

Chromosome : 1 , Position: 161509955
Most conditions are affected by anywhere from hundreds to millions of genetic variants (SNPs). A single SNP usually has a minor contribution to a person’s overall genetic risk for a certain condition. That is why you shouldn't consider or act on a SNP in isolation. Instead, we use SNPs to determine polygenic risk scores (PRSs), which are the basis of most health reports.
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Reference AlleleA
Alternative Alleles:  G, C

Traits

Trait Variant Impact PMID Author (year)
Basophil percentage of white cells G
Cell Vuckovic D (2020)
Basophil count G
Cell Chen MH (2020)
Basophill percentage G
Unknown journal UKB Neale v2 (2018)
Ankylosing spondylitis G
Nat Genet Cortes A (2013)
Ankylosing spondylitis [EA] G
Nat Genet Cortes A (2013)
Cerebrospinal fluid biomarker levels [Low affinity immunoglobulin gamma Fc region receptor II-a/b] G
Hum Mol Genet Sasayama D (2016)
Inflammatory bowel disease G
Nature Jostins L (2012)
Inflammatory bowel disease and other gastroenteritis and colitis G
Unknown journal UKB SAIGE (2018)
Kawasaki disease G
Nat Genet Khor CC (2011)
Serum total protein level G
Nat Genet Kanai M (2018)
Systemic lupus erythematosus G
Nat Commun Langefeld CD (2017)
Systemic lupus erythematosus [EA] G
Nat Genet Morris DL (2016)
Ulcerative colitis G
Nat Genet Asano K (2009)
Ulcerative colitis [EA] G
Nat Genet Liu JZ (2015)
Ulcerative colitis | non-cancer illness code, self-reported G
Unknown journal UKB Neale v2 (2018)

Summary

rs1801274 is a SNP in the Fc fragment of IgG, low affinity IIa, receptor (CD32) FCGR2A gene. rs1801274(C) encodes the arginine (R) allele, with the (T) allele encoding the variant histidine (H). The (H) isoform is considered high-binding to IgG2 and IgG3, while the (R) isoform is considered low-binding. This SNP is known in the literature by many names, including A519C and H131R. [rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), as well as to the efficacy of some immunotherapeutic treatments such as rituximab.

Many studies have been published about this FCGR2A SNP, roughly divided by either disorder or treatment as follows:

  • HIV to AIDS, including susceptibility and progression
    • In a study of HIV-infected men, those with a FCGR2a CC genotype progressed to a CD4+ cell count of <200/mm3 at a faster rate than individuals with either of the other genotypes (relative hazard = 1.6; p = 0.0001). However, the authors noted that the progression to AIDS was less impacted by this SNP, largely because TT homozygotes had an increased risk of pneumonia as an AIDS-defining illness. [Systemic lupus erythematosus (SLE)
      • A study of 90 Japanese patients with SLE concluded that individuals with rs1801274(C) alleles were at higher risk for the disease. [rheumatoid arthritis found that at week 30 of treatment with infliximab, rs1801274(C;C) homozygotes had a better ACR20 response (RR: 60% and HH-RH: 33.3%; p= 0.035). [diffuse large B-cell lymphoma, rs1801274 did not influence response, event-free or overall survival. [PMID 17606457]
    • Studies involving 3F8, an anti-GD2 antibody:
      • In a study of 136 patients with high risk neuroblastoma treated with the anti-GD2 antibody 3F8 plus GM-CSF immunotherapy, the rs1801274(C;C)(ie R/R) genotype was correlated with progression-free survival for the entire cohort (p = .049) and for the subset of patients with no history of prior relapse (p = .023). [PMID 16682723]


    [PMID 19140833] Linkage and association study of FcgammaR polymorphisms in celiac disease


    [PMID 19640933] FCGR2B gene polymorphism rather than FCGR2A, FCGR3A and FCGR3B is associated with anti-GBM disease in Chinese

    [PMID 19915573] A genome-wide association study identifies three new susceptibility loci for ulcerative colitis in the Japanese population


    [PMID 20149216] Fcgamma receptor polymorphisms and their association with periodontal disease: a meta-analysis

    [PMID 20148910] Association of FcGRIIa with Graves’ disease: a potential role for dysregulated autoantibody clearance in disease onset/progression


    [PMID 20439102] Analysis of MIF, FCGR2A and FCGR3A gene polymorphisms with susceptibility to pulmonary tuberculosis in Moroccan population

    [PMID 20691091] Survival dimensionality reduction (SDR): development and clinical application of an innovative approach to detect epistasis in presence of right-censored data

    [PMID 21208440] Polymorphisms of CD16A and CD32 Fcgamma Receptors and Circulating Immunocomplexes in Meniere Disease: a case-control study


    [PMID 21723269] Genetic profiling of GSTP1, DPYD, FCGR2A, FCGR3A and CCND1 genes in an Argentinian population


    [PMID 22081228] Genome-wide association study identifies FCGR2A as a susceptibility locus for Kawasaki disease


    [PMID 22446962] A genome-wide association study identifies three new risk loci for Kawasaki disease




    [PMID 15657875] Polymorphisms in the tyrosine kinase 2 and interferon regulatory factor 5 genes are associated with systemic lupus erythematosus.


    [PMID 16846490] Lemierre’s syndrome and genetic polymorphisms: a case report.


    [PMID 16893392] The FCGR2A–Arg131 variant is no major mortality factor in the elderly–evidence from a German centenarian study.


    [PMID 17315188] Common variants in genes that mediate immunity and risk of multiple myeloma.


    [PMID 17327408] Prognostic significance of host immune gene polymorphisms in follicular lymphoma survival.


    [PMID 17668374] Combining evidence of natural selection with association analysis increases power to detect malaria-resistance variants.


    [PMID 18418394] Association study of IL2/IL21 and FcgRIIa: significant association with the IL2/IL21 region in Scandinavian coeliac disease families.


    [PMID 18633131] Host immune gene polymorphisms in combination with clinical and demographic factors predict late survival in diffuse large B-cell lymphoma patients in the pre-rituximab era.


    [PMID 18759263] Features associated with, and the impact of, hemolytic anemia in patients with systemic lupus erythematosus: LX, results from a multiethnic cohort.


    [PMID 18796628] Etiologic heterogeneity among non-Hodgkin lymphoma subtypes.


    [PMID 18936436] Prevalence in the United States of selected candidate gene variants: Third National Health and Nutrition Examination Survey, 1991-1994.


    [PMID 19066394] Organochlorine exposure, immune gene variation, and risk of non-Hodgkin lymphoma.


    [PMID 19421223] Fcgamma receptors: structure, function and role as genetic risk factors in SLE.


    [PMID 19545442] Marked differences in CRP genotype frequencies between the Fulani and sympatric ethnic groups in Africa.


    [PMID 19838195] A large-scale replication study identifies TNIP1, PRDM1, JAZF1, UHRF1BP1 and IL10 as risk loci for systemic lupus erythematosus.


    [PMID 20041166] Common genetic variation and the control of HIV-1 in humans.


    [PMID 20508037] Copy number, linkage disequilibrium and disease association in the FCGR locus.


    [PMID 21317643] The Fcgamma receptor IIA-H/H131 genotype is associated with bacteremia in pneumococcal community-acquired pneumonia.


    [PMID 21379322] Risk alleles for systemic lupus erythematosus in a large case-control collection and associations with clinical subphenotypes.


    [PMID 21408207] Differential genetic associations for systemic lupus erythematosus based on anti-dsDNA autoantibody production.


    [PMID 21737555] Genetic variants associated with severe pneumonia in A/H1N1 influenza infection.


    [PMID 21768177] Is FCGR2A a susceptibility gene to systemic lupus erythematosus in Chinese?


    [PMID 21831733] Association of FCGR2A, JAK2 or HNF4A variants with ulcerative colitis in Koreans.


    [PMID 22417159] DNA sequence variation and regulation of genes involved in pathogenesis of pulmonary tuberculosis.


    [PMID 22484354] Calcineurin Inhibitor Treatment of Intravenous Immunoglobulin-Resistant Kawasaki Disease.


    [PMID 22540264] The rs150311303 Polymorphism in FcgammaRIIa Enhances IgG Binding Capacity.




    [PMID 22691414] Role of polymorphisms of toll-like receptor (TLR) 4, TLR9, toll-interleukin 1 receptor domain containing adaptor protein (TIRAP) and FCGR2A genes in malaria susceptibility and severity in Burundian children

    Malaria Complications


    [PMID 23498761] [Single nucleotide polymorphism of FCGR2A gene in Han Chinese children with Kawasaki disease]


    [PMID 23456091] Combined analysis of genome-wide-linked susceptibility loci to Kawasaki disease in Han Chinese


    [PMID 23906684] Genetic associations with coronary heart disease: Meta-analyses of 12 candidate genetic variants


    [PMID 24225286] [Meta-analyses of the associations of genome-wide association study- linked gene loci with Kawasaki disease]


    [PMID 24586589] Functional fcgamma receptor polymorphisms are associated with human allergy


    [PMID 21780194] E-selectin rs5361 and FCGR2A rs1801274 variants were associated with increased risk of gastric cancer in a Chinese population.


    [PMID 22922574] Fcgamma receptor polymorphisms do not predict response to intravenous immunoglobulin in myasthenia gravis.


    [PMID 23459936] Exploring the genetic basis of chronic periodontitis: a genome-wide association study.


    [PMID 23649770] Associations between FCGR2A rs1801274, FCGR3A rs396991, FCGR3B NA1/NA2 polymorphisms and periodontitis: a meta-analysis.


    [PMID 24775607] Absence of association of FCGR2A gene polymorphism rs1801274 with Kawasaki disease in Greek patients


    [PMID 25093412] A Genetic Variant rs1801274 in FCGR2A as a Potential Risk Marker for Kawasaki Disease: A Case-Control Study and Meta-Analysis


    [PMID 25811666] Novel association of FCGR2A polymorphism with age-related macular degeneration (AMD) and development of a novel CFH real-time genotyping method


    [PMID 26398853] Identification of Ten Additional Susceptibility Loci for Ulcerative Colitis Through Immunochip Analysis in Koreans

More Information

rs1801274 is a SNP in the Fc fragment of IgG, low affinity IIa, receptor (CD32) FCGR2A gene. rs1801274(C) encodes the arginine (R) allele, with the (T) allele encoding the variant histidine (H). The (H) isoform is considered high-binding to IgG2 and IgG3, while the (R) isoform is considered low-binding. This SNP is known in the literature by many names, including A519C and H131R. [rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), as well as to the efficacy of some immunotherapeutic treatments such as rituximab.

 

Many studies have been published about this FCGR2A SNP, roughly divided by either disorder or treatment as follows:

  • HIV to AIDS, including susceptibility and progression
    • In a study of HIV-infected men, those with a FCGR2a CC genotype progressed to a CD4+ cell count of <200/mm3 at a faster rate than individuals with either of the other genotypes (relative hazard = 1.6; p = 0.0001). However, the authors noted that the progression to AIDS was less impacted by this SNP, largely because TT homozygotes had an increased risk of pneumonia as an AIDS-defining illness. [Systemic lupus erythematosus (SLE)
      • A study of 90 Japanese patients with SLE concluded that individuals with rs1801274(C) alleles were at higher risk for the disease. [rheumatoid arthritis found that at week 30 of treatment with infliximab, rs1801274(C;C) homozygotes had a better ACR20 response (RR: 60% and HH-RH: 33.3%; p= 0.035). [diffuse large B-cell lymphoma, rs1801274 did not influence response, event-free or overall survival. [PMID 17606457]
    • Studies involving 3F8, an anti-GD2 antibody:
      • In a study of 136 patients with high risk neuroblastoma treated with the anti-GD2 antibody 3F8 plus GM-CSF immunotherapy, the rs1801274(C;C)(ie R/R) genotype was correlated with progression-free survival for the entire cohort (p = .049) and for the subset of patients with no history of prior relapse (p = .023). [PMID 16682723]


    [PMID 19140833] Linkage and association study of FcgammaR polymorphisms in celiac disease


    [PMID 19640933] FCGR2B gene polymorphism rather than FCGR2A, FCGR3A and FCGR3B is associated with anti-GBM disease in Chinese

    [PMID 19915573] A genome-wide association study identifies three new susceptibility loci for ulcerative colitis in the Japanese population


    [PMID 20149216] Fcgamma receptor polymorphisms and their association with periodontal disease: a meta-analysis

    [PMID 20148910] Association of FcGRIIa with Graves' disease: a potential role for dysregulated autoantibody clearance in disease onset/progression


    [PMID 20439102] Analysis of MIF, FCGR2A and FCGR3A gene polymorphisms with susceptibility to pulmonary tuberculosis in Moroccan population

    [PMID 20691091] Survival dimensionality reduction (SDR): development and clinical application of an innovative approach to detect epistasis in presence of right-censored data

    [PMID 21208440] Polymorphisms of CD16A and CD32 Fcgamma Receptors and Circulating Immunocomplexes in Meniere Disease: a case-control study


    [PMID 21723269] Genetic profiling of GSTP1, DPYD, FCGR2A, FCGR3A and CCND1 genes in an Argentinian population


    [PMID 22081228] Genome-wide association study identifies FCGR2A as a susceptibility locus for Kawasaki disease


    [PMID 22446962] A genome-wide association study identifies three new risk loci for Kawasaki disease

     

     

     

    [PMID 15657875] Polymorphisms in the tyrosine kinase 2 and interferon regulatory factor 5 genes are associated with systemic lupus erythematosus.


    [PMID 16846490] Lemierre's syndrome and genetic polymorphisms: a case report.


    [PMID 16893392] The FCGR2A–Arg131 variant is no major mortality factor in the elderly–evidence from a German centenarian study.


    [PMID 17315188] Common variants in genes that mediate immunity and risk of multiple myeloma.


    [PMID 17327408] Prognostic significance of host immune gene polymorphisms in follicular lymphoma survival.


    [PMID 17668374] Combining evidence of natural selection with association analysis increases power to detect malaria-resistance variants.


    [PMID 18418394] Association study of IL2/IL21 and FcgRIIa: significant association with the IL2/IL21 region in Scandinavian coeliac disease families.


    [PMID 18633131] Host immune gene polymorphisms in combination with clinical and demographic factors predict late survival in diffuse large B-cell lymphoma patients in the pre-rituximab era.


    [PMID 18759263] Features associated with, and the impact of, hemolytic anemia in patients with systemic lupus erythematosus: LX, results from a multiethnic cohort.


    [PMID 18796628] Etiologic heterogeneity among non-Hodgkin lymphoma subtypes.


    [PMID 18936436] Prevalence in the United States of selected candidate gene variants: Third National Health and Nutrition Examination Survey, 1991-1994.


    [PMID 19066394] Organochlorine exposure, immune gene variation, and risk of non-Hodgkin lymphoma.


    [PMID 19421223] Fcgamma receptors: structure, function and role as genetic risk factors in SLE.


    [PMID 19545442] Marked differences in CRP genotype frequencies between the Fulani and sympatric ethnic groups in Africa.


    [PMID 19838195] A large-scale replication study identifies TNIP1, PRDM1, JAZF1, UHRF1BP1 and IL10 as risk loci for systemic lupus erythematosus.


    [PMID 20041166] Common genetic variation and the control of HIV-1 in humans.


    [PMID 20508037] Copy number, linkage disequilibrium and disease association in the FCGR locus.


    [PMID 21317643] The Fcgamma receptor IIA-H/H131 genotype is associated with bacteremia in pneumococcal community-acquired pneumonia.


    [PMID 21379322] Risk alleles for systemic lupus erythematosus in a large case-control collection and associations with clinical subphenotypes.


    [PMID 21408207] Differential genetic associations for systemic lupus erythematosus based on anti-dsDNA autoantibody production.


    [PMID 21737555] Genetic variants associated with severe pneumonia in A/H1N1 influenza infection.


    [PMID 21768177] Is FCGR2A a susceptibility gene to systemic lupus erythematosus in Chinese?


    [PMID 21831733] Association of FCGR2A, JAK2 or HNF4A variants with ulcerative colitis in Koreans.


    [PMID 22417159] DNA sequence variation and regulation of genes involved in pathogenesis of pulmonary tuberculosis.


    [PMID 22484354] Calcineurin Inhibitor Treatment of Intravenous Immunoglobulin-Resistant Kawasaki Disease.


    [PMID 22540264] The rs150311303 Polymorphism in FcgammaRIIa Enhances IgG Binding Capacity.

     

     

     

    [PMID 22691414] Role of polymorphisms of toll-like receptor (TLR) 4, TLR9, toll-interleukin 1 receptor domain containing adaptor protein (TIRAP) and FCGR2A genes in malaria susceptibility and severity in Burundian children

    Malaria Complications


    [PMID 23498761] [Single nucleotide polymorphism of FCGR2A gene in Han Chinese children with Kawasaki disease]


    [PMID 23456091] Combined analysis of genome-wide-linked susceptibility loci to Kawasaki disease in Han Chinese


    [PMID 23906684] Genetic associations with coronary heart disease: Meta-analyses of 12 candidate genetic variants


    [PMID 24225286] [Meta-analyses of the associations of genome-wide association study- linked gene loci with Kawasaki disease]


    [PMID 24586589] Functional fcgamma receptor polymorphisms are associated with human allergy


    [PMID 21780194] E-selectin rs5361 and FCGR2A rs1801274 variants were associated with increased risk of gastric cancer in a Chinese population.


    [PMID 22922574] Fcgamma receptor polymorphisms do not predict response to intravenous immunoglobulin in myasthenia gravis.


    [PMID 23459936] Exploring the genetic basis of chronic periodontitis: a genome-wide association study.


    [PMID 23649770] Associations between FCGR2A rs1801274, FCGR3A rs396991, FCGR3B NA1/NA2 polymorphisms and periodontitis: a meta-analysis.


    [PMID 24775607] Absence of association of FCGR2A gene polymorphism rs1801274 with Kawasaki disease in Greek patients


    [PMID 25093412] A Genetic Variant rs1801274 in FCGR2A as a Potential Risk Marker for Kawasaki Disease: A Case-Control Study and Meta-Analysis


    [PMID 25811666] Novel association of FCGR2A polymorphism with age-related macular degeneration (AMD) and development of a novel CFH real-time genotyping method


    [PMID 26398853] Identification of Ten Additional Susceptibility Loci for Ulcerative Colitis Through Immunochip Analysis in Koreans

Population Alleles Frequency

ethhicity frequency
G C
African/African-American 0.5482
Latino/Admixed American 0.5071
Ashkenazi Jewish 0.4138
East Asian 0.3507
European 0.5014
Other (population not assigned) 0.4963

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