rs398122990

A SNP in the F9 gene on chromosome X. Its most notable genotype is A;G: “royal disease” also known as hemophilia B or Christmas disease

Gene
F9
Location
Chr X139,541,073 (GRCh38)
Highest magnitude
8.0Very important
Tested on
AncestryDNA

Genotypes

As shown in 23andMe and AncestryDNA files.

  1. A;AGoodnormalTypical · 0.0
  2. A;GMost notableNot rated“royal disease” also known as hemophilia B or Christmas diseaseVery important · 8.0
  3. G;GNot ratedRoyal Disease Hemophilia B SNPVery important · 8.0

On SNPedia: (A;A), (A;G), (G;G). Magnitude rates how notable a genotype is from 0 to 10, not how risky it is.

Conditions, medicines and genes

Notes

From SNPedia

Show notes, about 330 words

rs398122990 is a SNP in the coagulation factor IX F9 gene, in an intron just upstream of the fourth exon. The F9 gene is on the X chromosome. In 2009, researchers sequenced bones from the remains of the Nicholas II Romanov family, who were killed in 1918. This family harbored a form of hemophilia known as the “royal disease,” transmitted from Queen Victoria (1819–1901) to European royal families. The sequencing revealed the SNP responsible for their hemophilia, also known as hemophilia B or Christmas disease, to be rs398122990. To be specific, as an X-linked recessive disease, males (such as Prince Alexei) inheriting a rs398122990(G) allele and females inheriting two copies would be hemophiliacs, while rs398122990(A;G) females were unaffected carriers (as was Queen Victoria). On the suggestion of a Finnish researcher, in 2014 SNPedia submitted this SNP to dbSNP to have it assigned the rs-identifier you now see. It is currently unknown if this "royal disease" rs398122990(G) SNP is extinct world-wide, i.e. no longer present even in a single unaffected carrier somewhere in the world. If through the use of Promethease or other tools this allele, rs398122990(G), is identified in a human genome sequence derived from a living person, please contact us! This SNP is referred to as i5007022 by 23andMe.

A;G

You carry a form of hemophilia known as the “royal disease,” transmitted from Queen Victoria (1819–1901) to European royal families. It is currently unknown if this "royal disease" rs398122990(G) SNP is extinct world-wide, but if you're seeing this in your Promethease report, you may be the proof that the variant is not extinct. Please let info@snpedia.com know that you saw this in your report.

G;G

This SNP has been linked to royal families who ruled much of Europe. It is possible that this mutation is out there, but we will be surprised if anyone has 2 copies of it as you appear to. Please contact info@snpedia.com and help us investigate this variation that you carry.

Source and license

Adapted from rs398122990 on SNPedia, using a snapshot taken October 16, 2026. SNPedia content is shared under CC BY-NC-SA 3.0 US, and this page is shared under the same license.

SNPedia is a community-edited wiki. Its entries can be incomplete, out of date or wrong, and nothing here is a diagnosis or medical advice. Magnitude is a community rating of how interesting a genotype is, not a risk score.