Genetic determinants of the pre- and post-azathioprine therapy thiopurine methyltransferase activity phenotype

被引:18
作者
Arenas, M [1 ]
Duley, JA [1 ]
Ansari, A [1 ]
Shobowale-Bakre, EA [1 ]
Fairbanks, L [1 ]
Soon, SY [1 ]
Sanderson, J [1 ]
Marinaki, AM [1 ]
机构
[1] Guys & St Thomas Hosp, Dept Gastroenterol, London SE1 9RT, England
关键词
VNTR; Variable Number Tandem Repeats; AZA; azathioprine; 6MP; 6mercaptopurine and TPMT; thiopurine methyltransferase;
D O I
10.1081/NCN-200027643
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Thiopurine drug therapy has been reported to lead to a variable increase in red cell TPMT activity that may alter effective dose and therapeutic outcome. The aim of this study was to correlate Variable Number Tandem Repeat (VNTR) in the promoter region of the TPMT gene with induction of red cell TPMT activity in patients treated with azathioprine (AZA). In 58 patients, TPMT activity measured at 3 months was not significantly induced on average above pre-therapy levels. Individual patients showed variation in TPMT activity pre- and post-AZA therapy, however changes in TPMT activity were not predicted by VNTR configuration. In conclusion, TPMT promoter VNTRs are unlikely to play a significant role in changes in TPMT activity in response to AZA therapy.
引用
收藏
页码:1403 / 1405
页数:3
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