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DENND1A rs10818854: Understanding PCOS Genetic Associations

rs10818854
Reproductive
Moderate evidenceGene: DENND1A

The rs10818854 variant is a single nucleotide polymorphism located within the DENND1A gene. It has been studied extensively for its potential association with the risk of developing polycystic ovary syndrome (PCOS) and variations in reproductive hormone levels.

What each genotype means

C/CLower attention

Typical risk profile

This genotype represents the common form of the DENND1A variant. Research indicates that individuals with this genotype do not carry the specific genetic marker associated with increased susceptibility to polycystic ovary syndrome (PCOS) in several studied populations.

This is the most common genotype observed across most global populations.

C/TModerate attention

Increased PCOS risk marker

Carrying one copy of the T allele has been associated with an increased risk of developing polycystic ovary syndrome (PCOS) in various studies, particularly among Asian and Caucasian populations. Because this association is dependent on ethnic background and environmental factors, this result should be viewed as a statistical trend rather than a diagnostic indicator.

The frequency of this genotype varies significantly by ancestry, being more frequently reported in specific Asian and Caucasian cohorts.

T/TModerate attention

Elevated PCOS risk marker

Carrying two copies of the T allele is associated with a higher statistical risk for polycystic ovary syndrome (PCOS) in certain populations. While this variant is a known candidate for PCOS susceptibility, the actual development of the condition is complex and involves many genetic and environmental factors beyond this single marker.

This genotype is less common than the heterozygous form and its prevalence is highly variable depending on the specific ancestral population studied.

What is rs10818854?

The rs10818854 variant is a specific genetic marker, or single nucleotide polymorphism (SNP), located within the DENND1A gene. In genetics, a SNP represents a variation at a single position in the DNA sequence among individuals. This particular variant is situated in a non-coding region of the gene, meaning it does not directly alter the protein's amino acid sequence. Instead, researchers investigate whether such variants influence how the gene is regulated or expressed. Because it is a common variant, it has been included in numerous genome-wide association studies (GWAS) aimed at identifying the genetic architecture of complex conditions. By comparing the DNA of individuals with and without specific health traits, scientists can determine if certain alleles at this position appear more frequently in one group, suggesting a statistical link to the condition being studied.

The Role of the DENND1A Gene

The DENND1A gene provides instructions for making a protein that regulates Rab GTPases, which are essential for intracellular membrane trafficking. This process is critical for various cellular functions, including the secretion of hormones. In the context of reproductive health, research has highlighted that DENND1A is expressed in theca cells of the ovary, which are responsible for producing androgens. Studies have shown that specific isoforms of the DENND1A protein, particularly when overexpressed, can lead to a phenotype in laboratory models that mimics aspects of PCOS, such as increased androgen production. By regulating how cells communicate and secrete substances, the DENND1A protein plays a fundamental role in the endocrine pathways that govern reproductive cycles and metabolic health, making it a primary candidate for research into the underlying mechanisms of PCOS.

Research and Evidence Strength

The evidence linking rs10818854 to PCOS is considered moderate and is characterized by significant variability across different populations. Meta-analyses have identified a statistical association between this variant and an increased risk of PCOS in several cohorts, particularly in European and some Asian populations. However, the results are not universal; some studies have found no significant difference in allele frequencies between PCOS cases and control groups in other ethnic backgrounds, such as in certain Middle Eastern populations. This inconsistency suggests that the influence of rs10818854 may be dependent on a person's genetic ancestry or the presence of other modifying genetic and environmental factors. Because PCOS is a complex, polygenic condition, no single variant is considered a definitive cause, and the association with rs10818854 remains a subject of ongoing scientific investigation rather than a diagnostic tool.

Interpreting Your Genetic Information

It is important to understand that genetic variants like rs10818854 represent statistical associations observed in large groups of people, not individual medical predictions. Having a specific genotype does not mean an individual will develop PCOS, nor does the absence of the variant guarantee protection. PCOS is a multifactorial condition influenced by a combination of genetics, lifestyle, and environmental factors. If you are concerned about reproductive health, hormone levels, or symptoms associated with PCOS, you should consult a qualified healthcare provider or an endocrinologist. They can perform clinical evaluations, such as blood tests and physical exams, which are the standard for diagnosis. You cannot use genetic data alone to diagnose or manage health conditions. Always discuss any health concerns or questions about your genetic results with a medical professional who can provide context based on your personal health history.

How common is this variant?

The frequency of the A allele for rs10818854 is variable across different global populations, with studies noting distinct differences in prevalence between European, Asian, and African ancestries.

Frequently asked questions

Does having the rs10818854 variant mean I have PCOS?

No. This variant is only associated with a statistical increase in risk within certain populations. It is not a diagnostic test for PCOS, and many people with this variant do not have the condition.

How is PCOS diagnosed?

PCOS is diagnosed by healthcare professionals based on clinical criteria, which typically include irregular periods, signs of high androgen levels, or findings on an ultrasound. Genetic testing is not currently part of the standard diagnostic process.

Can I change my risk if I have this variant?

Genetic variants are fixed at birth. However, lifestyle factors such as diet, exercise, and weight management are known to play a significant role in managing the symptoms and metabolic health associated with PCOS.

Why do studies show different results for this variant?

Genetic associations can vary due to differences in ethnic background, sample sizes, and the complex nature of PCOS. What is observed in one population may not be replicated in another, which is common in genetic research.

Sources & further reading

Educational information only, last refreshed 10/5/2026. Not medical advice — these associations describe population statistics, not individual predictions.

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