UGT1A1 Gene - UDP Glucuronosyltransferase Family 1 Member A1

Key enzyme in bilirubin metabolism and drug detoxification; associated with Gilbert and Crigler-Najjar syndromes.

Gene Information Card

Symbol UGT1A1
Full Name UDP glucuronosyltransferase family 1 member A1
Gene Type protein coding
Chromosomal Location 2q37.1
NCBI Gene ID 54658 ncbi.nlm.nih.gov/gene/54658
Ensembl ID ENSG00000241370
UniProt ID P22309
OMIM ID 191740
HGNC ID 12530
Aliases UGT1A, UGT1, UDPGT, HUG-BR1, GNT1, UGT1A1*28

Description

The UGT1A1 gene encodes a UDP-glucuronosyltransferase enzyme, a critical phase II metabolic enzyme that catalyzes the glucuronidation of various endogenous and exogenous substrates, including bilirubin, hormones, and drugs. It is primarily expressed in the liver and is essential for the detoxification and elimination of bilirubin. Mutations in this gene can lead to inherited disorders such as Gilbert syndrome and Crigler-Najjar syndrome, and also affect drug metabolism, particularly of irinotecan and atazanavir.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Gilbert syndrome Reduced UGT1A1 enzyme activity due to promoter polymorphism (TA repeat) leading to mild unconjugated hyperbilirubinemia OMIM 143500; ClinVar
Crigler-Najjar syndrome type I Complete or near-complete absence of UGT1A1 activity due to homozygous or compound heterozygous mutations in coding region, causing severe unconjugated hyperbilirubinemia OMIM 218800; ClinVar
Crigler-Najjar syndrome type II Partial deficiency of UGT1A1 activity due to missense mutations, resulting in moderate hyperbilirubinemia OMIM 606785; ClinVar
Irinotecan toxicity UGT1A1*28 variant reduces glucuronidation of SN-38, active metabolite of irinotecan, increasing risk of severe diarrhea and neutropenia FDA label; ClinVar
Neonatal hyperbilirubinemia UGT1A1 variants, especially UGT1A1*28, contribute to prolonged jaundice in newborns ClinVar; PMID: 23448257

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High nTPM 100
Small intestine Medium nTPM 20
Colon Low nTPM 5
Kidney Low nTPM 3
Stomach Low nTPM 2
Cell Line Expression
Cell Line nTPM Notes
HepG2 High Liver cancer cell line
Caco-2 Medium Colorectal adenocarcinoma
HEK293 Low Embryonic kidney
MCF7 Low Breast cancer
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
UGT1A1*28 (TA)7 Promoter variant ~10-15% in Caucasians Reduced transcription, Gilbert syndrome
UGT1A1*6 (G71R) Missense ~15-20% in East Asians Reduced enzyme activity, Gilbert syndrome
c.1061C>T (P364L) Missense Rare Crigler-Najjar type II
c.923G>A (G308E) Missense Rare Crigler-Najjar type I/II
c.508_510del (del exon 2) Deletion Rare Crigler-Najjar type I
Mutation functional classification

Loss of Function (LOF)

Most UGT1A1 mutations, including promoter variants and missense changes, lead to reduced or absent enzyme activity, causing hyperbilirubinemia.

Gain of Function (GOF)

No gain-of-function mutations have been reported for UGT1A1.

Dominant Negative (DN)

Not documented; UGT1A1 is a monomeric enzyme, and mutations typically act in a recessive manner.

Gene Ontology (GO)

• glucuronosyltransferase activity • bilirubin glucuronoside transport
• xenobiotic glucuronidation • cellular response to drug
• endoplasmic reticulum membrane

Pathways

Bilirubin metabolism
Drug metabolism - glucuronidation
Porphyrin metabolism

Protein Summary

The UGT1A1 protein is a 533-amino acid transmembrane enzyme located in the endoplasmic reticulum of hepatocytes. It catalyzes the transfer of glucuronic acid from UDP-glucuronic acid to bilirubin, making it water-soluble for excretion. It also metabolizes various drugs and endogenous compounds. The protein has a conserved UDP-glucuronosyltransferase domain and a signal peptide. Post-translational modifications include glycosylation. Structural studies show a typical GT-B fold.

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Displaying Records 1 To 8 Of 8 Records
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