CYP2C8 rs1058930: Understanding Your Genetic Variant
The rs1058930 variant is a genetic polymorphism located within the CYP2C8 gene, which encodes an enzyme responsible for metabolizing various drugs and endogenous compounds. Research has investigated its potential influence on chemotherapy outcomes and breast cancer risk, though current evidence remains limited and requires further validation.
What each genotype means
Normal enzyme activity
This genotype represents the most common form of the CYP2C8 gene, often referred to as the *1 allele. Research indicates this is the standard reference sequence, and individuals with this profile typically exhibit normal metabolic activity for drugs processed by the CYP2C8 enzyme. Always consult with your healthcare provider or pharmacist regarding any medication dosing or potential drug interactions.
This is the most common genotype found across global populations.
Reduced enzyme activity
This genotype includes one copy of the G allele, which is associated with the CYP2C8*4 variant. Some studies suggest this variant may lead to reduced enzyme activity, potentially affecting how your body processes certain medications, though clinical evidence remains limited. Please discuss your genetic profile with your clinician or pharmacist before starting or adjusting any medication regimens.
This genotype is observed at a low frequency in many populations, with a global minor allele frequency of approximately 2.5%.
Likely reduced enzyme activity
This genotype consists of two copies of the G allele, corresponding to the CYP2C8*4/*4 diplotype. Research into this variant suggests a potential for decreased metabolic capacity for specific drugs, though the clinical significance is still being studied and may vary by medication. You should discuss this genetic finding with your healthcare provider or pharmacist to determine if it has any relevance to your current or future medical treatments.
This genotype is rare in most populations, occurring significantly less frequently than the heterozygous state.
What is rs1058930?
The rs1058930 variant is a single nucleotide polymorphism (SNP) situated in the CYP2C8 gene. In genetic literature, this specific variant is frequently referred to as the CYP2C8*4 allele. A SNP represents a variation at a single position in the DNA sequence among individuals. Because this variant is located within a gene that provides instructions for making a protein, researchers study it to determine if the change in the DNA code alters the function or efficiency of the resulting enzyme. Located on chromosome 10, the CYP2C8 gene is part of the cytochrome P450 superfamily, a group of enzymes primarily involved in the metabolism of xenobiotics, which include drugs, toxins, and other foreign substances. By studying where this SNP sits, scientists can better understand how genetic diversity contributes to the variability in how different people process medications.
The Role of the CYP2C8 Gene
The CYP2C8 gene encodes the cytochrome P450 2C8 enzyme, which is predominantly expressed in the liver. This enzyme plays a critical role in the phase I metabolism of a wide array of therapeutic drugs, including certain anti-inflammatory medications, antidiabetics, and chemotherapy agents. By chemically modifying these substances, the enzyme helps the body prepare them for excretion. When a genetic variant like rs1058930 is present, it may lead to a change in the amino acid sequence of the enzyme, potentially resulting in reduced metabolic activity. This is why the variant is often studied in the context of pharmacogenomics—the field that examines how an individual's genetic makeup influences their response to drugs. Understanding the function of this gene is essential for researchers who aim to predict how different genotypes might affect the clearance rates of specific medications in the bloodstream.
Research and Evidence Strength
The association between rs1058930 and clinical outcomes is considered to have limited evidence strength. Some studies have explored whether this variant influences the lymph node status of breast cancer patients or affects the metabolism of chemotherapy agents. However, findings in this area are often mixed, and it is difficult to isolate the effect of a single SNP from other genetic and environmental factors. For instance, some research has noted that the impact of this variant might be influenced by linkage disequilibrium, where it is inherited alongside other nearby variants, such as those in the CYP2C9 gene. Because the evidence is not definitive, it is not currently used as a standard clinical tool for predicting cancer risk or guiding treatment. Large-scale, independent studies are still required to confirm whether this variant has a consistent, measurable impact on health outcomes across diverse populations.
Population Frequency
The rs1058930 variant is considered to have a moderate frequency across various global populations. Genetic databases indicate that the prevalence of the variant allele can vary significantly depending on ancestral background. Because frequency data is derived from large-scale sequencing projects, it provides a snapshot of how common this genetic change is in the general population. It is important to note that having a common variant does not necessarily imply a specific health outcome, as most common SNPs have small or negligible effects on overall health. Researchers use these frequency data to ensure that genetic studies are representative of diverse groups, which helps in understanding whether associations found in one population hold true for others. If you are interested in your own genetic profile, population frequency data can provide context, but it should not be used to infer personal health risks.
What You Can Do With This Information
Information about your genotype for rs1058930 is primarily educational and should not be used to make medical decisions. Because the evidence linking this variant to specific health outcomes is limited and not currently used in routine clinical practice, it does not provide a clear roadmap for diagnosis or treatment. If you have concerns about how your body processes medications, or if you are undergoing treatment for a condition like breast cancer, the most important step is to have an open conversation with your healthcare provider or a clinical pharmacist. They can review your medical history, current medications, and clinical needs to provide personalized guidance. Never change your medication dosage or treatment plan based on genetic test results without consulting a professional. Genetic information is just one piece of a much larger puzzle that includes your lifestyle, environment, and overall health status.
How common is this variant?
The rs1058930 variant is found at moderate frequencies globally, with prevalence rates varying significantly across different ancestral groups.
Frequently asked questions
Is rs1058930 a diagnostic test for breast cancer?
No, rs1058930 is not a diagnostic test for breast cancer. While some research has explored its potential association with cancer risk or treatment outcomes, the evidence is limited and not sufficient for clinical diagnosis.
Does this variant mean I will have a bad reaction to chemotherapy?
Not necessarily. While the variant may influence how the body metabolizes certain drugs, many factors determine how a person responds to chemotherapy. You should discuss your specific treatment plan and any concerns about drug metabolism with your oncologist.
Can I change my genotype?
No, your genotype is determined by the DNA you inherited from your parents and cannot be changed. Genetic testing provides information about your inherited traits, but it does not dictate your future health outcomes.
Should I get tested for CYP2C8 variants?
Routine testing for this specific variant is not currently recommended by major medical guidelines. If you have questions about pharmacogenomic testing, consult your doctor to see if it is relevant to your specific medical situation.
Sources & further reading
Educational information only, last refreshed 9/30/2026. Not medical advice — these associations describe population statistics, not individual predictions.
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