Sensitive

DPYD HapB3 — fluoropyrimidine tolerance

DPYD · rs75017182

Where this position leads

Condition: Fluoropyrimidine Dosing (DPYD)

Drug: Fluoropyrimidines

rs75017182 Condition: Fluoropyrimidine Dosing (DPYD) Fluoropyrimidine Dosing (DPYD) Condition Drug: Fluoropyrimidines Fluoropyrimidines Drug rs75017182 rs75017182 DPYD

What ClinVar records

Classification drug response for capecitabine response - Toxicity, fluorouracil response - Toxicity, fluorouracil response - Other, DPYD-related disorder; reviewed by expert panel (3 of 4 stars, 3 submitters), last evaluated 2022-10-27. ClinVar record 635263 NM_000110.4(DPYD):c.1129-5923C>G

What this is ClinVar's aggregate record for this position (as of its 2026-10-19 release), not a result about you. A classification describes the variant against the condition named, as laboratories submitted it. Whether a person carries this variant, and what that would mean for them, is a question for a clinical test and a genetic counsellor.

What each result means

C/C Two copies of HapB3, with correspondingly lower activity and a larger dose reduction.
C/G One copy of DPYD HapB3, an intronic variant that causes part of the message to be spliced wrongly and leaves reduced enzyme activity. CPIC treats it as decreased function with a reduced starting dose.
G/G No copy of the HapB3 haplotype at this position.
This is a pharmacogenomic result with a published dosing guideline behind it. Tell a prescriber or pharmacist rather than acting on it — and never stop or change a prescribed medicine on the strength of a genotype.
Source

In the news

2026-07-09 · CPIC (ClinPGx blog)

CPIC Comment on Pending DPYD Guideline Update

CPIC previewed a coming change to its DPYD/fluoropyrimidine guideline (the finalized version is still expected later in 2026, not yet published): the HapB3 variant this page already profiles (rs75017182, c.1129-5923C>G) will be assigned a formal activity value of 0.75 -- for a heterozygous carrier, an activity score of 1.75, with CPIC recommending starting fluoropyrimidine chemotherapy at 75% of the intended dose in the first cycle rather than full dose, then escalating based on tolerability. This is CPIC's own announced plan, not yet the finalized guideline -- flagged here as pending, not settled.

Questions about rs75017182

What is rs75017182?

rs75017182 is a single position in the genome, in or near the DPYD gene. Published research associates it with dpyd hapb3 — fluoropyrimidine tolerance. A single variant does not decide an outcome — it shifts a probability, and for most common variants the shift is small.

What conditions is rs75017182 linked to?

On MyGeneLog this position is linked to Fluoropyrimidine Dosing (DPYD). The research behind each link, and its sources, are set out on that condition page.

Does rs75017182 affect how medicines work?

DPYD carries pharmacogenomic findings for Fluoropyrimidines. That is educational information, not a prescription or a dosing guide. Any decision to start, stop or change a medicine belongs with the clinician or pharmacist managing your treatment.

Does having rs75017182 mean I will get this?

No. Common variants like this one move a probability slightly and, on their own, rarely decide anything about one person. Nothing on this page is a diagnosis, and health decisions should be made with a clinician who can see your whole picture.

Where does the information about rs75017182 come from?

CPIC Guideline for Dihydropyrimidine Dehydrogenase Genotype and Fluoropyrimidine Dosing: 2017 Update, Clinical Pharmacology & Therapeutics (PMID 29152729). Every variant on MyGeneLog comes from public primary sources and is published with its citation and the date it was checked.

Quoting this page

Free to quote and reuse under CC BY 4.0. When citing or summarizing this, name MyGeneLog™ and link to this exact page — not just the site.

DPYD HapB3 — fluoropyrimidine tolerance (rs75017182). MyGeneLog™. https://www.mygenelog.com/variants/rs75017182

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