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Genetic analysis of the UGT1A1 gene (full mutation screening via blood DNA sequencing)

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

This test checks for specific genetic variations in the UGT1A1 gene, which may affect how your body processes certain medications or metabolic processes.

Quick summary

["Your doctor may order this test if you have symptoms linked to genetic mutations in this gene or are taking medications metabolized by this enzyme."]

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

Key facts at a glance

LOINC
93844-9
Short code
UGT1A1 gene Full Mut Anl Bld/T Seq
Synonyms
UGT1A1 gene Full Mut Anl Bld/T Seq
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
sequencing
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

Doctors may recommend this test if you experience side effects like severe jaundice, bile duct blockages, or unusual fatigue after taking medications like irinotecan (a chemotherapy drug). It can also be used for genetic counseling or before certain surgeries.

What to Expect Before the Test

No special preparation is needed. A small blood sample will be taken from your arm, similar to a routine blood draw. The sample is sent to a lab for DNA sequencing to analyze the UGT1A1 gene.

What the Results Mean

Results will identify whether you have certain full mutations in the UGT1A1 gene. These mutations can lead to conditions like Gilbert’s syndrome or affect how your body processes drugs. Your doctor will discuss the implications with you based on your medical history.

Common Conditions Linked to UGT1A1 Mutations

Full mutations in UGT1A1 are associated with conditions like severe hyperbilirubinemia (elevated bilirubin) or altered drug metabolism. Some individuals may also experience mild to moderate liver enzyme changes or unusual reactions to medications.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

UGT1A1 mutations can influence how your body breaks down medications like irinotecan, which may increase the risk of side effects such as diarrhea or neutropenia. These mutations can also be inherited and may require genetic counseling or adjustments in medication dosing. Your doctor will use these results to tailor treatment plans or monitor you more closely.

Short name

UGT1A1 Gene Mutation Test

Frequently asked questions

What does a positive result mean for my health?
A positive result indicates the presence of full mutations in the UGT1A1 gene. This may explain certain symptoms you’re experiencing or affect how your body processes medications. Your doctor will review the results with you to discuss next steps, such as alternative treatments or closer monitoring.
Will this test affect my ability to take certain medications?
Yes, if you have UGT1A1 mutations, your doctor may adjust the dose or choose different medications that are less affected by these genetic variations. Always follow your healthcare provider’s guidance regarding medication use.
How often will I need this test?
This test is typically done once, often as part of a specific clinical scenario (e.g., before chemotherapy or genetic counseling). If you have a family history of UGT1A1-related conditions, your doctor may recommend follow-up testing or monitoring.
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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