“…If gallstones are present in the supersaturated bile, competition may occur between the gall stone surface, growth and surrounding bile for available cholesterol molecules. 15 Various genetic association studies from India associated polymorphisms in genes namely MspA1 in Cytochrome-17 gene, 16 T190C in adrenergic receptor gene (ADRb3) and C-1291G in ADRA2A gene, 17 rs2234693 in ESR1, rs4994 in ADRB3 and rs11887534 in ABCG8, 11,18,19 Exon4 C>A polymorphism in SLCO1B1, 20 À75 G/A in APOA1 gene, 21 Intron 5 insertion/deletion polymorphism of RAP gene (LRPAP1). 22 Further, UGT1A1 but not HMOX1 gene promoter polymorphisms that confer increased risk of hyperbilirubinemia and gallstones in patients with hereditary spherocytosis.…”