نتایج جستجو برای: tpmt

تعداد نتایج: 333  

Journal: :The Journal of clinical investigation 1998
D M Otterness C L Szumlanski T C Wood R M Weinshilboum

Thiopurine methyltransferase (TPMT) catalyzes S-methylation of thiopurine drugs such as 6-mercaptopurine. Large variations in levels of TPMT activity in human tissue can result from a common genetic polymorphism with a series of alleles for low activity. This polymorphism is an important factor responsible for large individual variations in thiopurine toxicity and therapeutic efficacy. We now r...

Journal: :Evidence report/technology assessment 2010
Ronald A Booth Mohammed T Ansari Andrea C Tricco Evelin Loit Laura Weeks Steve Doucette Becky Skidmore Jeffrey S Hoch Sophia Tsouros Margaret Sears Richmond Sy Jacob Karsh Suja Mani James Galipeau Alexander Yurkiewich Raymond Daniel Alexander Tsertsvadze Fatemeh Yazdi

OBJECTIVES To examine whether pretreatment determination of thiopurine methyltransferase (TPMT) enzymatic activity (phenotyping) or TPMT genotype, to guide thiopurine therapy in chronic autoimmune disease patients, reduces treatment harms. Other objectives included assessing: preanalytic, analytic, and postanalytic requirements for TPMT testing; diagnostic accuracy of TPMT genotyping versus phe...

2009
Irena Mlinarič-Raščan Miha Milek Nataša Karas-Kuželički

Background The efficiency and safety of the thiopurine therapy rely on the concentration of patient's cytotoxic thioguanine nucleotides (TGN), which in turn depend on the deactivation of thiopurine drugs by thiopurine S-methyltransferase (TPMT). The activity of TPMT largely depends on the presence of genetic polymorphisms. Determination of mutations in the TPMT gene before starting 6-mercaptopu...

Journal: :Pharmacogenetics 2002
Oreste E Salavaggione Linda Kidd Janel L Prondzinski Carol L Szumlanski V Shane Pankratz Liewei Wang Lauren Trepanier Richard M Weinshilboum

Thiopurine S-methyltransferase (TPMT) plays an important role in the metabolism of thiopurine drugs. In humans, a common genetic polymorphism for TPMT is a major factor responsible for individual variation in the toxicity and therapeutic efficacy of these drugs. Dogs (Canis familiaris) are also treated with thiopurine drugs and, similar to humans, they display large individual variations in thi...

Journal: :Clinical biochemistry 2014
Paul R Burchard Ahmad N Abou Tayoun Joel A Lefferts Lionel D Lewis Gregory J Tsongalis Mark A Cervinski

OBJECTIVES Thiopurine compounds are commonly used in the treatment of childhood acute lymphoblastic leukemia, and as immunosuppressants following organ transplantation or for treatment of various autoimmune disorders. Thiopurine S-methyltransferase (TPMT) is required for detoxification, through S-methylation, of 6-thioguanine nucleotides (TGNs), a byproduct of thiopurine metabolism. Single nucl...

Journal: :Cleveland Clinic journal of medicine 2015
Jennifer DiPiero Kathryn Teng J Kevin Hicks

The thiopurines azathioprine, mercaptopurine, and thioguanine are prodrugs that are converted to active thioguanine nucleotide metabolites or methylated by thiopurine methyltransferase (TPMT) to compounds with less pharmacologic activity. In the absence of TPMT activity, patients are likely to have higher concentrations of thioguanine nucleotides, which can pose an increased risk of severe life...

2011
Christine M. Nguyen Margaret A.S. Mendes Joseph D. Ma

Azathioprine (AZA), 6-mercaptopurine (6-MP), and thioguanine (TG) are thiopurine drugs. These agents are indicated for the treatment of various diseases including hematologic malignancies, inflammatory bowel disease (IBD), rheumatoid arthritis, and as immunosuppressants in solid organ transplants. Thiopurine drugs are metabolized, in part, by thiopurine methyltransferase (TPMT). TPMT displays g...

Journal: :Clinical chemistry 2008
Nancy B Y Tsui

Genetic polymorphisms play an important role in the variability of drug responses among individuals (1 ). For thiopurine medications, the enzymatic activity of thiopurine S-methyltransferase (TPMT) inactivates thiopurine drugs and is influenced by polymorphisms within the TPMT 2 gene (2 ). Currently, more than 20 single-nucleotide polymorphisms (SNPs) have been associated with decreased TPMT ac...

Journal: :Drug metabolism and disposition: the biological fate of chemicals 2007
Kersti Oselin Kaili Anier

Thiopurine S-methyltransferase (TPMT) is a biotransformation phase II enzyme responsible for the metabolic inactivation of thiopurine drugs. The present study was carried out to investigate the inhibitory potential of 15 nonsteroidal anti-inflammatory drugs (NSAIDs) on human TPMT activity in vitro. TPMT activity was measured in pooled human erythrocytes in the absence and presence of various NS...

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