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AURKA rs2229523: What Your Genotype Means

rs2229523
Pharmacogenomics
Moderate evidenceGene: AURKA

The rs2229523 variant is a genetic change located within the AURKA gene, which encodes the Aurora A kinase protein. This specific variant is studied for its potential role in influencing clinical outcomes and responses to targeted therapies, such as the inhibitor alisertib, in patients with various solid tumors.

What each genotype means

T/TLower attention

Typical AURKA activity

This genotype represents the most common form of the AURKA gene at this position. Research into the Val57Ile variant suggests that individuals with this profile do not carry the specific amino acid substitution associated with altered kinase sensitivity to certain inhibitors. Please discuss any potential cancer treatment options or clinical trial eligibility with your oncologist.

This is the major allele genotype found in the vast majority of individuals across all global populations.

T/GModerate attention

Heterozygous variant carrier

You carry one copy of the variant allele (Ile) and one copy of the common allele (Val). Some studies have investigated whether this Val57Ile change influences the efficacy of Aurora A kinase inhibitors like alisertib in solid tumors, though clinical evidence remains limited and mixed. You should consult with your healthcare provider or a pharmacist regarding how your genetic profile might relate to specific therapeutic responses.

This genotype is present at varying frequencies depending on ancestry, appearing more frequently in some populations than others.

G/GModerate attention

Variant allele carrier

You carry two copies of the variant allele (Ile) at this position. This variant has been studied for its potential association with clinical outcomes in patients receiving Aurora A kinase inhibitors, but current data is not sufficient to establish a definitive impact on drug response. Always discuss your specific clinical situation and treatment plan with your medical team.

This genotype is relatively rare compared to the common T/T genotype in most studied populations.

Understanding the rs2229523 Variant

The rs2229523 variant is a single nucleotide polymorphism (SNP) located in the AURKA gene on chromosome 20. Specifically, this variant results in a codon change at position 57, where the amino acid valine is replaced by isoleucine (Val57Ile). In genetics, SNPs represent the most common type of variation among people, where a single building block of DNA—a nucleotide—differs between individuals. Because this change occurs within the coding region of the gene, it has the potential to alter the structure or function of the resulting protein. Researchers track these variations to understand how they might influence biological processes, particularly those related to cell division and growth, which are often dysregulated in cancer. By studying where this variant sits within the gene, scientists can better investigate whether it acts as a marker for disease susceptibility or as a predictor for how a patient might respond to specific medical interventions.

The Role of the AURKA Gene

The AURKA gene provides instructions for making a protein called Aurora A kinase. This protein is a critical regulator of the cell cycle, specifically ensuring that cells divide correctly. During mitosis, or cell division, Aurora A kinase is found at the centrosomes and spindle poles, where it helps organize the machinery required to pull chromosomes apart into two new daughter cells. Beyond its role in mitosis, recent research has highlighted that AURKA can also function in the nucleus as a transcription factor, influencing the expression of genes that promote cell proliferation and survival. When the AURKA gene is overexpressed or mutated, it can lead to genomic instability, centrosome amplification, and uncontrolled cell growth. Because of these functions, AURKA has become a significant focus in oncology research, as it is frequently overexpressed in various malignancies, including breast, lung, and colorectal cancers, making it a target for therapeutic inhibitors.

Research and Clinical Associations

The evidence linking rs2229523 to clinical outcomes is considered moderate. Research has primarily focused on how this variant might influence the efficacy of Aurora A kinase inhibitors, such as alisertib, in patients with solid tumors. While AURKA overexpression is a known factor in cancer progression and resistance to certain treatments, the specific impact of the Val57Ile variant on drug response is still being characterized. Some studies suggest that genetic variations in AURKA may correlate with how well a patient responds to targeted therapy, but these findings are often derived from exploratory clinical trials rather than large-scale, definitive studies. It is important to note that cancer is a complex disease influenced by many genetic and environmental factors. Therefore, while this variant is a subject of interest in pharmacogenomics, it is not currently used as a standard diagnostic tool to dictate treatment plans. Any questions regarding how genetic information might relate to a specific treatment plan should be discussed with a qualified oncologist or pharmacist.

Population Frequency and Interpretation

The frequency of the rs2229523 variant is variable across different global populations. Genetic databases indicate that the distribution of the alleles can differ significantly depending on ancestral background. This variability is common for many human genetic variants and underscores the importance of considering population-specific data when interpreting genetic research. Because the frequency is not uniform, the potential impact of this variant may also be more or less relevant depending on the demographic group being studied. Researchers continue to collect data to better understand these frequency patterns and how they might influence the broader applicability of pharmacogenomic findings. For the general public, it is essential to recognize that having a particular genotype does not guarantee a specific health outcome or response to medication. Genetic information is only one piece of a much larger clinical puzzle that includes medical history, tumor characteristics, and other lifestyle factors.

What You Can Do With This Information

If you have received information about your rs2229523 genotype, it is important to view it within the context of your overall health. This variant is currently a subject of scientific research rather than a standard clinical test used for routine medical decision-making. You cannot use this information to diagnose yourself or to predict with certainty how you will respond to any medication. If you are currently undergoing treatment for cancer or are considering a clinical trial, the most appropriate step is to have an open conversation with your healthcare team. Your oncologist or a genetic counselor can help you understand the relevance of your genetic profile in the context of your specific diagnosis and treatment options. They are best equipped to interpret how emerging research, such as studies on AURKA inhibitors, might apply to your unique clinical situation. Always rely on professional medical advice rather than independent interpretation of genetic data.

How common is this variant?

The frequency of the rs2229523 variant is variable across different global populations, with allele distributions differing significantly by ancestral background.

Frequently asked questions

Is rs2229523 a diagnostic test for cancer?

No, rs2229523 is not a diagnostic test for cancer. It is a genetic variant being studied in research settings to understand its potential role in drug response, not as a tool for identifying or diagnosing disease.

Does my genotype mean I will respond to alisertib?

There is no definitive evidence that this genotype guarantees a specific response to alisertib. Clinical response to medication is complex and depends on many factors, including the type of cancer and other genetic markers.

Should I change my treatment based on this variant?

You should never change your medical treatment based on genetic information without consulting your doctor. Always discuss your genetic results with your oncologist or pharmacist before making any decisions regarding your care.

Where can I find more information about AURKA?

You can find reliable information about the AURKA gene through resources like the NCBI Gene database or MedlinePlus Genetics. These platforms provide comprehensive summaries of gene functions and their roles in human health.

Sources & further reading

Educational information only, last refreshed 9/20/2026. Not medical advice — these associations describe population statistics, not individual predictions.

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