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UDP-Glucuronosyltransferase 1A1 (UGT1A1) Gene Mutation Screening (Qualitative)

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 contribute to conditions like Gilbert’s syndrome or certain cancers.

Quick summary

["A simple blood test to identify potential genetic differences that could influence drug metabolism or health risks."]

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

Key facts at a glance

LOINC
104285-2
Short code
UGT1A1 gene.p.G71R Bld/T Ql
Synonyms
UGT1A1 gene.p.G71R 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 linked to UGT1A1 mutations, such as hereditary hemochromatosis, certain cancers, or severe reactions to medications like irinotecan (a chemotherapy drug). It may also be used before starting certain medications that rely on this enzyme for metabolism.

How the Test Works

Blood is drawn to analyze DNA for known mutations in the UGT1A1 gene. The test is qualitative, meaning it only indicates whether the mutation is present or not, rather than measuring its exact quantity.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the blood draw if your provider specifies it. Wear comfortable clothing and plan to stay for the procedure.

What to Expect During the Test

A healthcare provider will insert a needle into your arm to collect a small amount of blood. You may feel a brief pinch, but it’s usually over quickly. The blood sample is then sent to a lab for genetic analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

UGT1A1 mutations can lead to reduced enzyme activity, which may cause side effects from medications or increase the risk of certain cancers (e.g., colorectal cancer). For example, the *UGT1A1*26 allele is linked to higher irinotecan toxicity. Identifying these mutations helps tailor treatment plans to avoid adverse reactions.

Short name

UGT1A1 Gene Mutation Test

Frequently asked questions

What does a positive result mean?
A positive result means the mutation is present in your DNA. This doesn’t always mean you’ll experience symptoms or side effects, but it may influence how your body processes certain medications or increase your risk for certain conditions. Your healthcare provider will discuss the implications based on your specific mutation and medical history.
Will this test affect my medication?
Possibly. Some medications rely on UGT1A1 for metabolism, so your provider may adjust your dose or choose an alternative if you have certain mutations. Always follow their guidance to avoid interactions or side effects.
Can this test be done at home?
No, this is typically a laboratory test performed in a clinical setting. Blood samples are collected by a healthcare professional, and results are reviewed by a genetic counselor or provider.
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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