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rs11591147 — PCSK9 R46L
Chromosome 1 Risk Allele G Category Atherogenic Lipoproteins Cardiovascular, Cholesterol, Diet, Statins

Loss-of-function variant that naturally lowers LDL cholesterol by 15-28% and reduces coronary disease risk by up to 47%

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rs116843064 — ANGPTL4 ANGPTL4 E40K
Chromosome 19 Risk Allele G Category Triglycerides & Fatty Acids Triglycerides, Cardiovascular, Fat Metabolism, Cholesterol, Diet

Missense variant that reduces ANGPTL4's inhibition of lipoprotein lipase, lowering fasting triglycerides and decreasing coronary artery disease risk in carriers of the K40 allele

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rs11726117 — ALPK1 ALPK1 variant
Chromosome 4 Risk Allele C Category Uric Acid & Kidney Function Uric Acid, Gout, Inflammation, Innate Immunity, Kidney Function, Minerals

Missense variant in the innate immune kinase ALPK1 (Met861Thr); the C allele is associated with elevated gout risk in East Asian populations through altered URAT1-mediated urate homeostasis and NF-κB inflammatory signaling

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rs118204017 — ACADVL
Chromosome 17 Risk Allele C Category Liver Fat Fat Metabolism, Mitochondria, Carrier Status, Energy Metabolism, Genetic Counseling, Reproductive Health

ACADVL missense variant (p.Phe458Leu) classified likely pathogenic for VLCAD deficiency; heterozygous carriers are asymptomatic but important to identify for reproductive counseling

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rs12101255 — TSHR
Chromosome 14 Risk Allele T Category Autoimmune Tolerance & T-Cell Regulation Autoimmune, Thyroid, Hormones & Thyroid, Immune & Autoimmune, Inflammation

Intronic regulatory variant in TSHR intron 1; the T allele disrupts thymic expression of the TSH receptor, allowing autoreactive T cells to escape tolerance and increasing susceptibility to Graves' disease — the most common autoimmune cause of hyperthyroidism

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rs121434288 — SLC39A4 SLC39A4 zinc transporter variant
Chromosome 8 Risk Allele T Category Iron & Mineral Transport Zinc, Micronutrients, Carrier Status, Minerals, Metal Metabolism, Genetic Counseling

Pathogenic missense variant in the ZIP4 intestinal zinc transporter causing hereditary acrodermatitis enteropathica when homozygous; heterozygotes are asymptomatic carriers

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rs121909548 — SERPINC1 Cambridge II (A384S)
Chromosome 1 Risk Allele A Category Von Willebrand & Anticoagulant Proteins Thrombophilia, Blood Clotting, Thrombosis, Cardiovascular, Genetic Counseling, Blood Thinners

Missense variant in antithrombin (SERPINC1) that impairs heparin-catalyzed thrombin inhibition, causing type II reactive-site antithrombin deficiency and approximately 10-fold increased venous thromboembolism risk

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rs121965064 — F11 Phe301Leu (Type III)
Chromosome 4 Risk Allele C Category Coagulation & Clotting Factors Blood Clotting, Cardiovascular, Thrombophilia, Carrier Status, Genetic Counseling, Ancestry-Specific

Ashkenazi Jewish founder missense mutation in coagulation factor XI causing impaired FXI dimerization; homozygotes develop hemophilia C (severe FXI deficiency) with post-surgical and trauma-related bleeding, while heterozygotes have partial deficiency with variable bleeding risk; the most prevalent FXI deficiency allele in Ashkenazi Jewish populations

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rs12640848 — ENAM
Chromosome 4 Risk Allele A Category Dental & Oral Health Dental & Oral Health, Enamel Health, Minerals, Calcium, Inflammation

Intronic variant in the ENAM enamelin gene associated with altered dental caries susceptibility across multiple populations, with the reference A allele linked to increased caries risk and the alternate G allele to a protective effect

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rs1799782 — XRCC1 R194W
Chromosome 19 Risk Allele A Category Cancer Risk Cancer Risk, DNA Repair, Base Excision Repair, Smoking Interaction, Ancestry

Missense variant in the linker region of XRCC1 that disrupts interaction with the OGG1 glycosylase, impairing base excision repair of oxidative DNA damage; effect direction varies by cancer type and ancestry

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