Article
Individualization of thiopurine therapy: thiopurine S-methyltransferase and beyond.
Pharmacogenomics - 1 Aug 2009
Karas-Kuzelicki Natasa, Mlinaric-Rascan Irena
Abstract excerpt
The metabolism of a given drug depends, not solely on a particular enzyme, but rather on a complex metabolic network. Thiopurine S-methyltransferase (TPMT) catalyzes the methylation, and thus deactivation, of 6-mercaptopurine, a thiopurine used in the treatment of acute lymphoblastic leukemia. Low TPMT activity has been associated with severe toxicity of 6-mercaptopurine. Determination of mutations in the TPMT...
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