Article
Lethal toxicity after administration of azacytidine: implication of the cytidine deaminase-deficiency syndrome.
Pharmacogenetics and genomics - 1 Jun 2015
Fanciullino Raphaelle, Mercier Cedric, Serdjebi Cindy, Berda Yaël, Fina Frederic, Ouafik L'Houcine, Lacarelle Bruno, Ciccolini Joseph, Costello Regis
Abstract excerpt
Azacytidine, an antimetabolite with an original epigenetic mechanism of action, increases survival in patients diagnosed with high-risk myelodysplasic syndromes or acute myeloid leukemia with less than 30% medullar blasts. Azacytidine is a pyrimidine derivative that undergoes metabolic detoxification driven by cytidine deaminase (CDA), a liver enzyme whose gene is prone to genetic polymorphism, leading to erratic...
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