Sensitive

Warfarin sensitivity

VKORC1 · rs9923231

Where this position leads

Condition: Warfarin Sensitivity and Anticoagulant Dose Variability

Drug: Warfarin

rs9923231 Condition: Warfarin Sensitivity and Anticoagulant Dose Variability Warfarin Sensitivity and Anticoagul… Condition Drug: Warfarin Warfarin Drug Topic: Heart and circulation Heart and circulation Topic Topic: Bones and fractures Bones and fractures Topic rs9923231 rs9923231 VKORC1

Solid lines are connections this site curates. Dashed lines mean the two ends share a research paper — worth knowing, and not a claim that one explains the other.

What ClinVar records

Classification drug response for Warfarin response, phenprocoumon response - Toxicity, phenprocoumon response - Dosage, warfarin response - Toxicity, Venous thromboembolism and 5 more; reviewed by expert panel (3 of 4 stars, 9 submitters), last evaluated 2021-11-19. ClinVar record 2211 NM_024006.4(VKORC1):c.-1639G>A

Classification drug response for Warfarin response; no assertion criteria provided (0 of 4 stars, 1 submitter), last evaluated 2006-12-16. ClinVar record 166563 NC_000016.10:g.31096368=

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 Published research associates this genotype with typical VKORC1 expression and standard warfarin dosing requirements.
C/T Published research associates this genotype with reduced VKORC1 expression, associated with needing a lower-than-average warfarin dose to reach the same anticoagulation effect.
T/T Published research associates this genotype with substantially reduced VKORC1 expression, associated with needing a markedly lower warfarin dose. Starting at a standard dose without accounting for this genotype is associated with elevated bleeding risk during the initial treatment period.
This is a pharmacogenomic finding with clinical dosing guidelines (CPIC). If you are prescribed warfarin, share this result with your doctor — dosing algorithms that incorporate VKORC1 (and CYP2C9) genotype are standard practice. Do not adjust any medication on your own.
Source

What people read about alongside this

Papers in Europe PMC whose title or abstract names both this rsID and that subject. A shared paper means somebody wrote about the two together — it is not a claim that this position explains the subject.

Questions about rs9923231

What is rs9923231?

rs9923231 is a single position in the genome, in or near the VKORC1 gene. Published research associates it with warfarin sensitivity. A single variant does not decide an outcome — it shifts a probability, and for most common variants the shift is small.

What conditions is rs9923231 linked to?

On MyGeneLog this position is linked to Warfarin Sensitivity and Anticoagulant Dose Variability. The research behind each link, and its sources, are set out on that condition page.

Does rs9923231 affect how medicines work?

VKORC1 carries pharmacogenomic findings for Warfarin. 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.

What do people read about alongside rs9923231?

Subjects that appear in the title or abstract of the same papers as this rsID include heart and circulation (12 papers), bones and fractures (3 papers), natural selection (2 papers), cholesterol and blood fats (1 papers), kidneys (1 papers). A shared paper means somebody wrote about the two together; it is not a claim that this position explains the topic.

Does having rs9923231 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 rs9923231 come from?

Rieder et al. 2005, New England Journal of Medicine — effect of VKORC1 haplotypes on transcription and warfarin dose. PMID 15930419. Every variant on MyGeneLog comes from public primary sources and is published with its citation and the date it was checked.

Quoting this page

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Warfarin sensitivity (rs9923231). MyGeneLog™. https://www.mygenelog.com/variants/rs9923231

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