ABCA1 Gene

ATP Binding Cassette Subfamily A Member 1 (ABCA1) is a gene involved in reverse cholesterol transport that has been studied in relation to immune function, metabolism, and chronic illness. Variants in ABCA1 may influence how the body responds to infection, inflammation, and long-term recovery.

This page is for educational and informational purposes only. Not a diagnostic tool. Always consult a qualified healthcare provider.

What is the ABCA1 gene?

ABCA1 encodes atp binding cassette subfamily a member 1, a protein involved in reverse cholesterol transport. It belongs to the Metabolism category and is part of the Mitochondrial & Metabolic biological cluster. ABCA1 mediates efflux of cellular cholesterol and phospholipids to lipid-poor ApoA-I, initiating HDL particle formation. Loss-of-function causes Tangier disease with very low HDL; variants are associated with cardiovascular and Alzheimer's risk.

Biological role and pathway

ABCA1 is involved in the reverse cholesterol transport pathway, which plays a central role in regulating physiological processes relevant to immune defence, cellular energy, and systemic homeostasis. Genes within the Mitochondrial & Metabolic cluster work together to maintain balanced function across interconnected biological systems.

Variants in genes within this pathway may influence an individual's predisposition to altered function in these systems — particularly under conditions of physiological stress such as viral infection or prolonged illness.

ABCA1 and Long COVID / ME-CFS research

Low HDL is a risk factor for severe COVID-19 and poor recovery. ABCA1 variants affecting reverse cholesterol transport and HDL generation may contribute to the dyslipidemia and cardiovascular risk of Long COVID, particularly relevant to Long COVID cognitive complaints and neuroinflammation.

This information is based on published research and does not constitute medical advice. See references below.

Known genetic variants

The following variants (SNPs) in the ABCA1 gene have been studied in relation to metabolism and chronic illness. Each variant represents a single nucleotide position where individuals may carry different alleles.

Conditions studied in relation to ABCA1

Research into ABCA1 variants has explored associations with the following conditions. These are areas of scientific investigation and do not imply that ABCA1 causes or treats any condition.

Genetic insights from DNA data

Consumer DNA files from 23andMe, AncestryDNA, and MyHeritage contain raw SNP data. When you upload your file to ChronicDNA, the analysis engine checks your genotype against a curated panel of 80+ genes selected for their relevance to Long COVID, ME/CFS, and connected biological pathways - some of which may include ABCA1 and related genes in the mitochondrial & metabolic pathway.

The report is educational - it explains which variants you carry, what the research says about them, and how they fit into the biological pathways most relevant to chronic illness. Results are presented in plain English with appropriate scientific context, no medical jargon, no scare tactics. All results should be discussed with a qualified healthcare provider.

Related genes in the Mitochondrial & Metabolic pathway

ABCA1 does not act in isolation. The following genes are functionally related and may be analysed together for a more complete picture of your genetic predispositions.

Frequently asked questions

What is the ABCA1 gene and what does it do?

ABCA1 (ATP Binding Cassette Subfamily A Member 1) is involved in reverse cholesterol transport. ABCA1 mediates efflux of cellular cholesterol and phospholipids to lipid-poor ApoA-I, initiating HDL particle formation. Loss-of-function causes Tangier disease with very low HDL; variants are associated with cardiovascular and Alzheimer's risk.

How may ABCA1 gene variants relate to Long COVID or ME/CFS?

Low HDL is a risk factor for severe COVID-19 and poor recovery. ABCA1 variants affecting reverse cholesterol transport and HDL generation may contribute to the dyslipidemia and cardiovascular risk of Long COVID, particularly relevant to Long COVID cognitive complaints and neuroinflammation.

Can a DNA test reveal information about my ABCA1 gene?

Consumer DNA data from 23andMe, AncestryDNA, and MyHeritage includes SNP variants for many genes. ChronicDNA analyses your raw DNA file and reports on variants that have been studied in relation to chronic illness, immune function, and metabolism. This is not a diagnostic service — results are informational and educational only.

Explore your ABCA1 genetic insights

Upload your DNA data from 23andMe, AncestryDNA, or MyHeritage and receive a personalised report covering >80 genes relevant to Long COVID and ME/CFS.

Get Your Personalised DNA Report

Informational and educational only · Not a diagnostic tool · GDPR compliant

References

The following publications were used in compiling the research context for ABCA1. This is not an exhaustive literature review.

  • [1]PMID: 28578556
  • [2]Nature Genetics
  • [3]Circulation