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OATP1B1 (Slcop1b1) Gene Mutation Screening (Qualitative)

Published: August 9, 2026Updated: August 16, 2026

This test checks for mutations in the OATP1B1 gene, which plays a role in how certain medications are processed in your liver. It may be used if you have a family history of liver disease or are considering medications that interact with this gene.

Quick summary

["This test helps assess genetic variations that could affect liver drug metabolism."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
104287-8
Short code
SLCO1B1 gene.c.521T>C Bld/T Ql
Synonyms
SLCO1B1 gene.c.521T>C Bld/T Ql
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have a family history of conditions like non-alcoholic fatty liver disease (NAFLD), liver cirrhosis, or if you’re prescribed medications that are metabolized by the OATP1B1 transporter, such as statins or certain cancer drugs. It can also be part of genetic counseling for conditions linked to liver function.

What to Expect Before the Test

No special preparation is needed for this test. You may provide a blood sample (whole blood) or a saliva sample, depending on the lab’s protocol. If blood is used, it’s typically drawn from a vein in your arm.

What the Results Mean

Results will identify whether you carry specific mutations in the OATP1B1 gene. These mutations can influence how your body processes certain medications, potentially affecting their safety or effectiveness. Your provider will discuss the implications with you based on your medical history and treatment plan.

Common Medications Affecting This Gene

Medications metabolized by OATP1B1 include statins (e.g., atorvastatin, rosuvastatin), some chemotherapy drugs (e.g., docetaxel), and certain antiviral therapies. If you’re prescribed these, your provider may recommend monitoring or dose adjustments based on your genetic results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Mutations in the OATP1B1 gene can lead to reduced liver function in metabolizing drugs, increasing the risk of side effects or drug resistance. For example, certain genetic variations may require lower doses of statins to avoid liver toxicity. This test is particularly relevant for patients with pre-existing liver conditions or those taking medications known to interact with this transporter.

Short name

OATP1B1 Gene Test

Frequently asked questions

What does a positive result mean?
A positive result indicates the presence of specific mutations in your OATP1B1 gene. These mutations may affect how your liver processes certain medications, which could impact their effectiveness or safety. Your healthcare provider will discuss how this may influence your treatment plan, especially if you’re taking drugs metabolized by this transporter.
Will this test change my medication?
Possibly. If your results show mutations linked to drug metabolism, your provider may adjust your medication dose, choose an alternative drug, or monitor you more closely. This is not a standalone decision but part of a personalized approach to your care.
Is this test covered by insurance?
Coverage depends on your insurance plan and clinical indication. If your provider orders this test for a specific medical reason (e.g., genetic counseling, liver disease evaluation), check with your insurance provider for details. Some genetic tests may require prior authorization.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy