Gene-drug interactions (data source: DGIdb)
Gene Name Entrez ID Drug Name Chembl ID Interaction Types Sources publications
HNF4A 3172 LINOLEIC ACID CHEMBL267476 agonist GuideToPharmacologyInteractions
HNF4A 3172 ROSIGLITAZONE CHEMBL121 NCI 15998575
HNF4A 3172 MYRISTIC ACID CHEMBL111077 DrugBank 10592235
HNF4A 3172 DODECANOATE CHEMBL108766 DrugBank 10592235
HNF4A 3172 UREA CHEMBL985 NCI 8167573
HNF4A 3172 CETUXIMAB CHEMBL1201577 NCI 8777337
HNF4A 3172 ANDROSTENEDIONE CHEMBL274826 NCI 9260906
HNF4A 3172 TESTOSTERONE CHEMBL386630 NCI 9260906
HNF4A 3172 ALBUMIN HUMAN CHEMBL1201451 NCI 8788167

Variant-drug associations (data source: PharmGKB)
Gene Name Variant Alleles Chemical Phenotype Category Significance Notes Sentence Publications Annotation ID
HNF4A rs2071197 AA lamotrigine metabolism/PK yes The concentration was measured as lamotrigine trough concentration / dose normalized by body weight. Included patients had been on lamotrigine monotherapy for at least a month with complete medical records, had normal renal and hepatic functions, and had therapeutic drug monitoring with good compliance. Genotype AA is associated with decreased concentrations of lamotrigine in people with Epilepsy as compared to genotypes AG + GG. 26213157 1448098929
HNF4A rs3212198 T warfarin dosage yes Please note this association is found for a combination of two variants. Patients with rs2501873 (TT) and at least one variant allele in HNF4a rs3212198 (T allele) required higher warfarin doses (6.2±2.4mg) than those with other combinations (5.3± 1.7mg, ranging from 5.2 ±1.9 to 5.5± 1.9mg). These variant combination explained 1.7% of the overall interindividual variability in warfarin dose requirements among the study patients in a multivariate regression analysis (p=0.019). Allele T is associated with increased dose of warfarin in people with heart valve replacement as compared to allele C. 25356900 1184997918
HNF4A rs3212183 C lamotrigine efficacy no Efficacy was determined by monitoring the frequency of patients' epileptic seizures within one year. Each patient was evaluated at 4 weeks after treatment initiation and then at 3-month intervals thereafter. The difference in seizure frequency was based on the difference between the 3-month retrospective baseline frequency and the seizure frequency at 12-month visit, which was reported for the last 3 months prior to the last visit. Good efficacy was defined as seizure-free or a 50% or greater reduction in seizure frequency within a 1-year follow-up period. Allele C is not associated with response to lamotrigine in people with Epilepsy as compared to allele T. 27610747 1448263559
HNF4A rs3212183 CT lamotrigine metabolism/PK no Lamotrigine concentrations were measured as steady state in plasma in the early morning before breakfast after at least one month of continuous treatment with lamotrigine monotherapy. Genotype CT is not associated with concentrations of lamotrigine in people with Epilepsy as compared to genotype TT. 27610747 1448263511
HNF4A rs11086926 GG metformin efficacy no Subjects were at high risk of diabetes and were recruited from Diabetes Prevention Program (DPP) and were followed for a year. The authors measured changes in response to insulin at baseline and one year after treatment. Although the GG genotype was not associated with response to metformin, it was associated with changes in lifestyle as subjects with that genotype were less likely to develop diabetes compared with persons with the same genotype in the placebo (P=0.02) and metformin (P=0.02) groups. Genotype GG is not associated with response to metformin as compared to genotypes GT + TT. 28453780 1448617616
HNF4A rs3212185 CT metformin efficacy no Subjects were at high risk of diabetes and were recruited from Diabetes Prevention Program (DPP) and were followed for a year. The authors measured changes in response to insulin at baseline and one year after treatment. The C allele was not associated with response to Metformin (vs. Placebo) and after multiple testing corrections. Genotype CT is not associated with response to metformin as compared to genotype CC. 28453780 1448617649
HNF4A rs2071197 GG oxcarbazepine metabolism/PK no Genotype GG is not associated with concentrations of oxcarbazepine in people with Epilepsy as compared to genotypes AA + AG. 28837897 1448998381
HNF4A rs6031587 T irinotecan metabolism/PK no Allele T is not associated with metabolism of irinotecan in people with Colorectal Neoplasms as compared to allele C. 29706892 1449557367
HNF4A rs3212207 C rosuvastatin metabolism/PK yes Allele C is associated with increased exposure to rosuvastatin in healthy individuals as compared to allele G. 30100615 1449733134
HNF4A rs1884613 CC efavirenz metabolism/PK yes ON EFV-containing therapy for >7 days, absence of interacting drugs, no co-infection, drug intake 12 hrs (+/- 3 hrs) before blood draw, reported medication adherence above 90%. Receive 600 mg EFV once daily. Genotype CC is associated with increased concentrations of efavirenz in people with HIV Infections as compared to genotypes CG + GG. 26774523 1447680404
HNF4A rs2071197 AA + AG lamotrigine metabolism/PK no Lamotrigine concentrations were measured as steady state in plasma in the early morning before breakfast after at least one month of continuous treatment with lamotrigine monotherapy. Genotypes AA + AG is not associated with concentrations of lamotrigine in people with Epilepsy as compared to genotype GG. 27610747 1448263500
HNF4A rs2071197 A lamotrigine efficacy no Efficacy was determined by monitoring the frequency of patients' epileptic seizures within one year. Each patient was evaluated at 4 weeks after treatment initiation and then at 3-month intervals thereafter. The difference in seizure frequency was based on the difference between the 3-month retrospective baseline frequency and the seizure frequency at 12-month visit, which was reported for the last 3 months prior to the last visit. Good efficacy was defined as seizure-free or a 50% or greater reduction in seizure frequency within a 1-year follow-up period. Allele A is not associated with response to lamotrigine in people with Epilepsy as compared to allele G. 27610747 1448263553
HNF4A rs2071197 A oxcarbazepine efficacy no Allele A is not associated with response to oxcarbazepine in people with Epilepsy as compared to allele G. 28837897 1448998411