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rs2854746 (IGFBP3)

What you carry at this position in your DNA and what research says about it.

Cardiovascular Health Risk: 9/10 evidence, 23 publications.

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Sample genotype (not yours): G/G

Typical Cardiovascular Risk

This genotype is associated with lower diastolic blood pressure and a lower risk of calcium buildup in the coronary arteries.

What this genotype means: Lower diastolic blood pressure; Reduced risk of coronary artery calcification.

Sample genotype (not yours): C/C

Higher Cardiovascular Risk

This genotype is linked to higher diastolic blood pressure and an increased risk of calcium buildup in the heart arteries.

What this genotype means: Higher diastolic blood pressure; Increased risk of coronary artery calcification.

Sample genotype (not yours): G/C

Intermediate Cardiovascular Risk

Carrying one copy of the C allele is associated with intermediate blood pressure levels and typical arterial calcification risk.

What this genotype means: Intermediate diastolic blood pressure; Typical coronary calcification risk.

About IGFBP3

Gene function and biological role

Gene Function: The IGFBP3 gene encodes insulin-like growth factor-binding protein 3, which is the primary carrier protein for insulin-like growth factors in the bloodstream [1]. By binding to IGF-1, this protein regulates its availability, half-life, and interaction with cellular receptors [2]. This pathway plays a critical role in controlling cell growth, tissue regeneration, and cellular survival throughout the body [1]. Variations in this gene can alter circulating levels of both the binding protein and active growth factors, influencing systemic physiological processes [2].

Variant Impact: The rs2854746 variant is a missense mutation in the first exon of the IGFBP3 gene, resulting in an alanine-to-glycine amino acid substitution at position 32 of the protein. This structural change directly influences the stability and circulating concentration of the binding protein in blood plasma [3]. The G allele is associated with the reference alanine residue, whereas the C allele encodes the variant glycine residue. This genetic alteration has systemic downstream effects on growth factor signaling and cardiovascular parameters [3].

Key Insight: This single amino acid change in a growth-factor carrier protein simultaneously influences adult height and arterial calcification risk.

Location: IGFBP3. Chromosome 7 · 7p12.3 · 45.9 Mb

Genotype Frequencies

Estimated prevalence by population

Global 39.3%; European 35.6%; African 47.5%; East Asian 6.2%; South Asian 40.8%; Americas 46.2%; Ashkenazi 29.2%; Finnish 42.3%; Middle Eastern 27.1%; Amish 17.3%.

Estimated GG genotype frequency.

Global 45.6%; European 48.1%; African 42.9%; East Asian 37.4%; South Asian 46.2%; Americas 43.5%; Ashkenazi 49.7%; Finnish 45.5%; Middle Eastern 49.9%; Amish 48.6%.

Estimated GC genotype frequency.

Global 15.1%; European 16.2%; African 9.7%; East Asian 56.5%; South Asian 13.1%; Americas 10.2%; Ashkenazi 21.1%; Finnish 12.2%; Middle Eastern 23.0%; Amish 34.1%.

Estimated CC genotype frequency.

Associated Traits

Showing effects for G/G genotype

Cardiovascular & Metabolic

Hypertension

Blood Pressure. Evidence: 9/10. Source: PMID 30578418. Typical.

Vascular Health & Aneurysm

Arterial Calcification. Evidence: 6/10. Source: PMID 37770635. Typical Risk.

Endocrine & Reproductive

Hormone Levels & Endocrine Regulation

IGFBP-3 Levels. Evidence: 8/10. Source: PMID 34814699. Lower Levels.

Lifestyle, Fitness & Aging

Height & Body Size

Height. Evidence: 7/10. Source: PMID 40374629. Slightly Taller.

Showing effects for C/C genotype

Blood Pressure. Evidence: 9/10. Source: PMID 30578418. Increased.

Arterial Calcification. Evidence: 6/10. Source: PMID 37770635. Higher Risk.

IGFBP-3 Levels. Evidence: 8/10. Source: PMID 34814699. Higher Levels.

Height. Evidence: 7/10. Source: PMID 40374629. Slightly Shorter.

Showing effects for G/C genotype

Blood Pressure. Evidence: 9/10. Source: PMID 30578418. Slightly Increased.

Arterial Calcification. Evidence: 6/10. Source: PMID 37770635. Slightly Higher Risk.

IGFBP-3 Levels. Evidence: 8/10. Source: PMID 34814699. Intermediate Levels.

Height. Evidence: 7/10. Source: PMID 40374629. Typical Height.

What GG Genotype Means

What this genotype means for the people who carry it

Sample genotype: GG (Homozygous)

Individuals carrying the G/G genotype tend to have lower circulating levels of the IGFBP-3 binding protein [1]. This lower level of carrier protein corresponds to lower diastolic blood pressure measurements in large-scale genetic studies [2]. Additionally, this genotype is associated with a reduced risk of coronary artery calcification, which is a key marker of plaque buildup in the heart [3]. G/G carriers also tend to have slightly greater average height, reflecting differences in growth factor availability, and their overall cardiovascular profile is highly favorable [4]. Maintaining a heart-healthy lifestyle further supports these natural genetic advantages.

Lower diastolic blood pressure; Reduced risk of coronary artery calcification.

What CC Genotype Means

Sample genotype: CC (Homozygous)

Having two copies of the C allele is associated with significantly higher circulating levels of the IGFBP-3 binding protein [1]. This elevation in carrier protein levels is strongly linked to higher diastolic blood pressure in multi-ethnic cohorts [2]. Furthermore, clinical data associates the C/C genotype with an increased susceptibility to coronary artery calcification, which can contribute to arterial stiffness [3]. Although this genotype is also linked to slightly shorter stature, the primary clinical relevance lies in cardiovascular monitoring [4]. Standard cardiovascular wellness strategies, such as regular exercise and a low-sodium diet, are particularly beneficial for individuals with this genetic profile.

Higher diastolic blood pressure; Increased risk of coronary artery calcification.

What GC Genotype Means

Sample genotype: GC (Heterozygous)

The G/C genotype represents an intermediate genetic profile for growth factor binding and cardiovascular metrics. People with this genotype exhibit moderate levels of circulating IGFBP-3 protein compared to the homozygote groups [1]. Large population studies show that having one copy of the C allele results in a very modest increase in diastolic blood pressure [2]. The risk for coronary artery calcification is also near the population average [3]. Because this genotype represents a balance between the two homozygous states, it is generally considered to have a neutral impact on overall health.

Intermediate diastolic blood pressure; Typical coronary calcification risk.

Related Variants

Variants with shared genetic architecture

rs2854744 · IGFBP3 Gene · Chr 7 · IGFBP-3 Levels and Cancer Risk

rs3110697 · IGFBP3 Gene · Chr 7 · Blood Pressure and Hormones

rs12509595 · FGF5 Gene · Chr 4 · Blood Pressure Risk

Sources

Genetic determinants of circulating insulin-like growth factor (IGF)-I, IGF binding protein (BP)-1, and IGFBP-3 levels in a multiethnic population.

IGF-I and IGFBP-3 polymorphisms in relation to circulating levels among African American and Caucasian women.

Whole Genome Sequence Analysis of the Plasma Proteome in Black Adults Provides Novel Insights Into Cardiovascular Disease.

Trans-ethnic association study of blood pressure determinants in over 750,000 individuals.

Multi-ancestry genome-wide study identifies effector genes and druggable pathways for coronary artery calcification.

Combining cross-sectional and longitudinal genomic approaches to identify determinants of cognitive and physical decline.

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Content updated August 2026.

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