rs4244285
CYP2C19 *2, loss of function
What this position does
CYP2C19 activates clopidogrel, a very widely used antiplatelet drug, and clears several antidepressants and stomach-acid drugs. The *2 version does not work at all.
What each result means
| If you carry | What it means |
|---|---|
| No copies of the effect version GG | No *2 copy This position carries the working version on both copies. |
| One copy AG | One *2 copy Intermediate metaboliser, assuming no other variant. Clopidogrel is activated less efficiently. |
| Two copies AA | Two *2 copies Poor metaboliser. Clopidogrel is substantially less effective, which is the subject of a boxed warning from the FDA, and clinical guidelines recommend an alternative antiplatelet drug for people with this genotype. |
How common each version is
| Ancestry group | A (the effect version) | |
|---|---|---|
| African | 17.0% | |
| American | 10.5% | |
| East Asian | 31.3% | |
| European | 14.5% | |
| South Asian | 35.8% |
1000 Genomes Project phase 3, via Ensembl, retrieved 2026-09-23. These groupings are coarse and flatten a great deal of internal diversity, particularly within Africa. A variant being common somewhere tells you where a piece of your ancestry probably comes from, and nothing else.
How many people carry each result
| Ancestry group | GG | AG | AA |
|---|---|---|---|
| African | 459 / 661 | 179 / 661 | 23 / 661 |
| European | 363 / 503 | 134 / 503 | 6 / 503 |
| East Asian | 227 / 504 | 239 / 504 | 38 / 504 |
| South Asian | 213 / 489 | 202 / 489 | 74 / 489 |
| American | 277 / 347 | 67 / 347 | 3 / 347 |
Counts of people, not modelled frequencies: every one of the 2,504 individuals sequenced by the 1000 Genomes Project phase 3, tallied by the genotype they carry. Deriving these from allele frequencies instead would assume random mating inside each group and undercount the homozygotes.
How to find out which you have
If you have taken a test with 23andMe, AncestryDNA, MyHeritage, Family Tree DNA, TellMeGen or Living DNA, this position is very likely already in the raw data file they gave you. You do not need another test.
One thing to watch if you look it up by hand: testing companies report some positions from one DNA strand and some from the other, and the file does not say which. Read the letters as they appear and you will get the opposite of the truth for some positions. Sequencings resolves that automatically.
Source
CPIC Guideline for Clopidogrel and CYP2C19
Coordinates and allele pair verified against Ensembl GRCh37. Direction of effect verified against VEP protein consequences or 1000 Genomes population frequency. Category: Medicine response.
Related
- rs12248560 — CYP2C19 *17, increased function
Where this fits
Common questions
What is rs4244285?
rs4244285 is a position in the CYP2C19 gene on chromosome 10. CYP2C19 activates clopidogrel, a very widely used antiplatelet drug, and clears several antidepressants and stomach-acid drugs. The *2 version does not work at all.
What does it mean if I have AA at rs4244285?
Two *2 copies. Poor metaboliser. Clopidogrel is substantially less effective, which is the subject of a boxed warning from the FDA, and clinical guidelines recommend an alternative antiplatelet drug for people with this genotype.
What does it mean if I have GG at rs4244285?
No *2 copy. This position carries the working version on both copies.
How do I find out my rs4244285 genotype?
If you have taken a home DNA test, this position is very likely in the raw data file you were given. Sequencings reads that file in your browser without uploading it, and resolves which DNA strand each position was reported from, which is the step most manual lookups get wrong.
This is reference information, not medical advice, and not a diagnosis. See the medical disclaimer. Category: Medicine response.