Article
Mercaptopurine therapy intolerance and heterozygosity at the thiopurine S-methyltransferase gene locus.
Journal of the National Cancer Institute - 1 Dec 1999
Relling M V, Hancock M L, Rivera G K, Sandlund J T, Ribeiro R C, Krynetski E Y, Pui C H, Evans W E
Abstract excerpt
BACKGROUND: Patients with acute lymphoblastic leukemia are often treated with 6-mercaptopurine, and those with homozygous deficiency in thiopurine S-methyltransferase (TPMT) enzyme activity have an extreme sensitivity to this drug as a result of the accumulation of higher cellular concentrations of thioguanine nucleotides. We studied the metabolism, dose requirements, and tolerance of 6-mercaptopurine among...
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