Article
[New techniques for optimization of thiopurine therapy in leukemia and transplantation].
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke - 30 Apr 2002
Loennechen Thrina, Lysaa Roy Andre, Giverhaug Trude, Sylte Ingebrigt, Mathiesen Lars-Eirik, Aarbakke Jarle
Abstract excerpt
BACKGROUND: The majority of chemotherapeutic agents are administered at fixed doses that are close to those maximally tolerated. MATERIAL AND METHODS: This review is based on current knowledge about the metabolism of thiopurines and the clinical implications of genetic polymorphism in thiopurine-S-methyltransferase (TPMT). RESULTS: Intracellularly thiopurines, e.g. 6-MP, are anabolized to cytotoxic 6-thioguanine...
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