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Mycophenolic Acid (Myfortic)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Mycophenolic Acid

What it is

Mycophenolic acid is an immunosuppressant that blocks IMPDH, an enzyme lymphocytes depend on to make guanine, a DNA building block, so they cannot multiply. It is used with other medicines to prevent rejection after kidney, heart and liver transplants, and for lupus kidney disease and other autoimmune conditions. It is sold as Myfortic, and as the prodrug mycophenolate mofetil (CellCept).

How genes come into it

Mycophenolic acid is cleared mainly by UGT1A9 (with UGT2B7 and others), passes into bile via ABCC2, and returns from the gut, which gives it a second peak in the blood. Studies have linked variants in UGT1A9, ABCC2, SLCO1B1 and SLCO1B3 to its levels, and IMPDH variants to response and side effects. The findings come from single or a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Mycophenolic Acid. Upload your DNA file to see which of these rows apply to you.

Rated evidence (11 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

ABCC2 rs3740066: Level 3. Metabolism/PK: Organ Transplantation. 3.

SLCO1B1 rs2306283: Level 3. Metabolism/PK: Kidney Transplantation. 2.

UGT1A9 rs3832043: Level 3. Metabolism/PK: Kidney Transplantation. 1.

SLCO1B3 rs4149117: Level 3. Efficacy: Lung transplantation, overall survival. 1.

Metabolism (33 findings)

Studies of how quickly the body processes this medication.

ABCC2 rs2273697: Allele A is associated with decreased exposure to mycophenolic acid as compared to allele G.

ABCC2 rs2273697: Allele A is associated with decreased exposure to mycophenolic acid in people with Kidney Transplantation as compared to allele G.

ABCC2 rs3740066: Genotype CT is associated with decreased concentrations of mycophenolic acid in people with lung transplantation as compared to genotypes CC + TT.

ABCC2 rs717620: Allele T is associated with exposure to mycophenolic acid in people with Kidney Transplantation as compared to allele C.

Response (6 findings)

Studies of how well it worked in people carrying a variant.

IMPDH2 rs11706052: Allele G is associated with decreased response to mycophenolic acid as compared to genotype AA.

ABCC2 rs3740066: Allele T is not associated with response to azathioprine or mycophenolic acid in people with lung transplantation as compared to allele C.

SLCO1B1 rs2306283: Allele G is not associated with response to azathioprine or mycophenolic acid in people with lung transplantation as compared to allele A.

SLCO1B1 rs4149056: Genotypes CC + CT are not associated with response to mycophenolic acid in people with Kidney Transplantation as compared to genotype TT.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

CellCept (Immunosuppressants)

Imuran (Immunosuppressants)

Neoral (Immunosuppressants)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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