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UGT1A1 Gene Mutation Analysis (Quantitative Product Variant Detection)

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

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

Quick summary

["A UGT1A1 gene test helps identify potential risks for conditions like certain drug side effects or inherited metabolic issues."]

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

Key facts at a glance

LOINC
79718-3
Short code
UGT1A1 gene prod met act imp Bld/T-Imp
Synonyms
UGT1A1 gene prod met act imp Bld/T-Imp
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

What This Test Measures

The UGT1A1 gene encodes an enzyme involved in the metabolism of drugs and toxins, including some chemotherapy medications and bile acids. Variations in this gene can lead to altered enzyme activity, affecting how your body processes these substances. This test specifically detects quantitative differences in the UGT1A1 gene product (enzyme activity or variant presence) that may impact your health or treatment response.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have a history of severe side effects from medications metabolized by UGT1A1 enzymes, such as irinotecan (a chemotherapy drug), or if you have symptoms linked to genetic conditions like Gilbert’s syndrome or Crigler-Najjar syndrome. It can also be used for genetic counseling or preconception screening.

Sample Collection and Process

A blood sample is typically collected to analyze genetic material. The test involves examining the UGT1A1 gene sequence to identify specific mutations or quantitative changes in the gene product, often compared to a reference sample for comparison.

What the Results Mean

Results may indicate normal enzyme activity, reduced activity due to gene variants, or other quantitative differences. These findings can guide treatment decisions, especially for medications that rely on UGT1A1 for metabolism. Consult your healthcare provider to interpret results in the context of your overall health and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

UGT1A1 Gene Test

Frequently asked questions

How common is this test used in routine care?
This test is primarily used in specialized settings, such as oncology for chemotherapy patients, genetic counseling, or when managing conditions linked to UGT1A1 enzyme dysfunction. It’s not a standard screening test for the general population but may be recommended for specific medical situations.
What are the most common reasons for abnormal results?
Abnormal results may suggest inherited variations that could lead to altered drug metabolism, potentially increasing or decreasing the effectiveness or toxicity of medications like irinotecan. Conditions like Gilbert’s syndrome (mild bile acid buildup) may also be associated with UGT1A1 gene variants, though symptoms vary widely.
Can this test be done on other body fluids besides blood?
Currently, this test is performed on blood samples due to the need to analyze genetic material. Other body fluids like saliva or urine are not typically used for this specific test, though genetic testing can sometimes be done on saliva samples for certain conditions.
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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