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rs934197 (APOB)

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

LDL Cholesterol: 10/10 evidence, 11 publications.

You're viewing every possible genotype for this variant.

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Sample genotype (not yours): G/G

Typical LDL Cholesterol Levels

Blood lipid profiles tend to remain within normal ranges. This genotype is associated with the lowest levels of LDL and total cholesterol.

What this genotype means: Typical circulating levels of LDL and total cholesterol; Lower baseline risk of lipid accumulation in blood vessels.

Sample genotype (not yours): A/A

Elevated LDL Cholesterol Levels

Carrying two copies of the A allele is associated with the highest levels of LDL and total cholesterol. This profile increases the risk of lipid accumulation in the cardiovascular system.

What this genotype means: Highest circulating levels of LDL and total cholesterol; Increased risk of arterial plaque accumulation.

Sample genotype (not yours): G/A

Moderately Elevated LDL Cholesterol

Carrying one copy of the A allele is linked to moderately higher LDL and total cholesterol levels. This increase can contribute to a higher risk of lipid buildup in blood vessels.

What this genotype means: Moderately higher circulating levels of LDL and total cholesterol; Slightly increased risk of arterial plaque buildup over time.

About APOB

Gene function and biological role

Gene Function: Apolipoprotein B, encoded by the APOB gene, is the primary protein component of low-density lipoprotein (LDL) and very-low-density lipoprotein (VLDL) particles [1]. It acts as a structural scaffold that allows these lipid-carrying particles to travel through the bloodstream [1]. By binding to specific receptors on cell surfaces, it guides the clearance of cholesterol from circulation [2]. When this process is disrupted, cholesterol can accumulate in the blood vessels, contributing to plaque buildup [2].

Variant Impact: The rs934197 variant is located in the upstream region of the APOB gene, where it influences how actively the gene is expressed rather than altering the protein structure itself [3]. This regulatory change directly impacts the abundance of circulating apolipoprotein B proteins [3]. Higher expression levels lead to an increased concentration of cholesterol-carrying particles in the bloodstream [4]. Consequently, this single nucleotide change is a major genetic determinant of circulating LDL and total cholesterol levels [4].

Key Insight: This variant regulates how much APOB protein is produced rather than changing the protein itself, directly influencing the number of cholesterol-carrying particles in your blood.

Location: APOB. Chromosome 2 · 2p24.1 · 21.0 Mb

Genotype Frequencies

Estimated prevalence by population

Global 57.8%; European 46.5%; African 76.2%; East Asian 77.2%; South Asian 73.3%; Americas 48.8%; Ashkenazi 64.5%; Finnish 52.7%; Middle Eastern 70.0%; Amish 45.2%.

Estimated GG genotype frequency.

Global 35.5%; European 43.4%; African 22.2%; East Asian 21.3%; South Asian 24.6%; Americas 42.1%; Ashkenazi 31.6%; Finnish 39.8%; Middle Eastern 27.3%; Amish 44.1%.

Estimated GA genotype frequency.

Global 6.8%; European 10.1%; African 1.6%; East Asian 1.5%; South Asian 2.1%; Americas 9.1%; Ashkenazi 3.9%; Finnish 7.5%; Middle Eastern 2.7%; Amish 10.8%.

Estimated AA genotype frequency.

Associated Traits

Showing effects for G/G genotype

Cardiovascular & Metabolic

Lipids & Cholesterol

LDL Cholesterol. Evidence: 10/10. Source: PMID 31719535. Typical.

Total Cholesterol. Evidence: 10/10. Source: PMID 34610981. Typical.

VLDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. Typical.

IDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. Typical.

Lipoprotein(a) Levels. Evidence: 10/10. Source: PMID 33730874. Typical.

Pharmacogenomics

Lipid-Lowering Drug Response

Fenofibrate Response. Evidence: 3/10. Source: PMID 20724655. Typical Response.

Showing effects for A/A genotype

LDL Cholesterol. Evidence: 10/10. Source: PMID 31719535. +0.34 mmol/L.

Total Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.27 mmol/L.

VLDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.32 mmol/L.

IDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.34 mmol/L.

Lipoprotein(a) Levels. Evidence: 10/10. Source: PMID 33730874. Increased.

Fenofibrate Response. Evidence: 3/10. Source: PMID 20724655. Altered Response.

Showing effects for G/A genotype

LDL Cholesterol. Evidence: 10/10. Source: PMID 31719535. +0.17 mmol/L.

Total Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.135 mmol/L.

VLDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.16 mmol/L.

IDL Cholesterol. Evidence: 10/10. Source: PMID 34610981. +0.17 mmol/L.

Lipoprotein(a) Levels. Evidence: 10/10. Source: PMID 33730874. Slightly Increased.

What GG Genotype Means

What this genotype means for the people who carry it

Sample genotype: GG (Homozygous)

Carrying two copies of the common G allele is associated with lower circulating levels of low-density lipoprotein (LDL) and total cholesterol [1]. Because this genotype does not elevate gene expression, fewer cholesterol-carrying particles are released into the bloodstream [1]. Studies show that individuals with this profile typically maintain healthier lipid ratios compared to those carrying the A allele [2]. This natural baseline helps minimize the risk of arterial plaque accumulation over time [2]. Research also indicates that this genetic profile is linked to lower levels of very-low-density lipoprotein (VLDL) and intermediate-density lipoprotein (IDL) [3]. Maintaining these lower lipid fractions is a key factor in long-term cardiovascular health [2]. While diet and lifestyle remain crucial, this genetic background provides a favorable starting point for lipid management [1].

Typical circulating levels of LDL and total cholesterol; Lower baseline risk of lipid accumulation in blood vessels.

What AA Genotype Means

Sample genotype: AA (Homozygous)

Carrying two copies of the A allele is associated with the highest circulating levels of LDL and total cholesterol [1]. This genetic profile significantly increases the expression of the APOB gene, resulting in a high abundance of cholesterol-transporting particles [2]. Research indicates that each A allele raises LDL cholesterol by about 0.17 mmol/L, leading to a pronounced cumulative effect for those with two copies [1]. This elevation is also observed in other lipid fractions, such as VLDL and IDL cholesterol [3]. The continuous presence of elevated atherogenic particles in the bloodstream increases the risk of arterial plaque buildup [2]. While this variant is not a direct cause of severe familial hypercholesterolemia, it represents a notable genetic driver of high cholesterol [1].

Highest circulating levels of LDL and total cholesterol; Increased risk of arterial plaque accumulation.

What GA Genotype Means

Sample genotype: GA (Heterozygous)

Carrying one copy of the A allele is associated with a moderate increase in circulating LDL and total cholesterol levels [1]. This genetic change enhances the expression of the APOB gene, leading to a higher concentration of lipid-carrying particles in the blood [2]. Clinical studies have shown that each copy of the A allele raises LDL cholesterol by approximately 0.17 mmol/L [1]. This elevation extends to other atherogenic particles, including very-low-density lipoprotein (VLDL) and intermediate-density lipoprotein (IDL) [3]. Over time, higher levels of these particles can increase the likelihood of plaque formation in the arteries [2]. Although this variant is classified as benign for severe familial hypercholesterolemia, it still influences everyday lipid levels [1].

Moderately higher circulating levels of LDL and total cholesterol; Slightly increased risk of arterial plaque buildup over time.

Related Variants

Variants with shared genetic architecture

rs1042034 · APOB Gene · Chr 2 · Cholesterol and Lipids

rs1367117 · APOB Gene · Chr 2 · Cholesterol Levels

rs4665710 · APOB Gene · Chr 2 · Blood Lipid Levels

Sources

Evaluating the relationship between circulating lipoprotein lipids and apolipoproteins with risk of coronary heart disease: A multivariable Mendelian randomisation analysis.

Characterising metabolomic signatures of lipid-modifying therapies through drug target mendelian randomisation.

Genome-wide characterization of circulating metabolic biomarkers.

The power of genetic diversity in genome-wide association studies of lipids.

Back to Variant Explorer

Content updated August 2026.

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