rs429358 APOE
APOE e4/e4 homozygous. Substantially elevated risk for late-onset Alzheimer's disease (up to 12x).
What is rs429358?
rs429358 is a single-nucleotide polymorphism (SNP) in the APOE gene (Apolipoprotein E). Each person carries two copies, one from each parent, so a result is reported as a pair of letters such as CC. The table below describes what studies associate with each genotype; the association is statistical, across populations, and is not a diagnosis.
What does each rs429358 genotype mean?
| Genotype | Association | What the evidence says | Confidence |
|---|---|---|---|
| CC | high | APOE e4/e4 homozygous. Substantially elevated risk for late-onset Alzheimer's disease (up to 12x). | 95% |
| TC / CT | elevated | APOE e3/e4 heterozygous. Moderately elevated Alzheimer's risk (3-4x). | 92% |
| TT | typical / lower | APOE e3/e3. Typical Alzheimer's risk. | 93% |
How common is the C allele of rs429358?
Minor-allele frequency by population (gnomAD / 1000 Genomes):
| European | 15.0% |
|---|---|
| East Asian | 9.0% |
| African | 27.0% |
| South Asian | 10.0% |
| Admixed American | 11.0% |
| Global | 15.0% |
Which drugs have annotations for rs429358?
PharmGKB clinical annotations (level 1A is the strongest evidence, 4 the weakest):
| Drug | Annotation type | Evidence level |
|---|---|---|
| acenocoumarol | Toxicity, Efficacy, Dosage | 3 |
| warfarin | Toxicity, Efficacy, Dosage | 3 |
| Antivirals for treatment of HIV infections | Toxicity, Efficacy, Dosage | 3 |
| combinations | Toxicity | 3 |
Is rs429358 on 23andMe and AncestryDNA chips?
Yes — it is genotyped directly on 23andMe V3, 23andMe V4, 23andMe V5, AncestryDNA V1, AncestryDNA V2. Orviva reads it from a raw-data export without imputation.
Sources
Upload your 23andMe, AncestryDNA or WeGene raw file → · Ask G2: “What is my genotype at rs429358 and what does it mean for me?”
Genetic associations describe risk across populations, not a diagnosis for any one person. Most variants shift risk modestly and act alongside lifestyle, environment and other genes. Consumer DNA chips do not read every position and can be wrong at any single one. For general education only; talk to a clinician or genetic counsellor before acting on anything here, and never change a prescribed medicine without your prescriber.