Evidence map›Paper›PMID 39835229›Full record

ArticleIndian journal of clinical biochemistry : IJCB2025

Assessment of Erythrocytes Methotrexate Polyglutamate Three Levels in Psoriatic Patients Treated with Methotrexate Monotherapy and Their Association with Disease Response.

Veera Krishna Goud, Alladi Charanraj Goud, Sivaranjini Ramassamy, M Jayanthi, R Medha, Laxmisha Chandrashekar

Abstract read
In one paragraph

Article in Indian journal of clinical biochemistry : IJCB, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Veera Krishna GoudDepartment of Dermatology, JIPMER, Puducherry, 06 India.
Alladi Charanraj GoudInstitute of Molecular and Translational Medicine, University of Palacky, Olomouc, Czech Republic.
Sivaranjini RamassamyDepartment of Dermatology, JIPMER, Puducherry, 06 India.
M JayanthiDepartment of Pharmacology, JIPMER, Puducherry, 06 India.
R MedhaDepartment of Biochemistry, JIPMER, Puducherry, 06 India.
Laxmisha ChandrashekarDepartment of Dermatology, JIPMER, Puducherry, 06 India.ORCID 0000-0002-3964-7480

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methotrexate is used to manage moderate to severe psoriasis and psoriatic arthritis. Methotrexate acts by inhibiting the enzymes involved in nucleotide synthesis. Methotrexate polyglutamates (MTXPGs) have a higher potency to inhibit Dihydrofolate reductase (DHFR), 5-aminoimidazole-4-carboxamide ribonucleotide transformylase (ATIC), and thymidylate synthase (TS), compared to naïve methotrexate. Among all the MTXPGs, methotrexate polyglutamate three (MTXPG-3) is a more potent inhibitor of DHFR, ATIC, and TS enzymes. MTXPG-3 is anticipated to allow therapeutic drug monitoring in immune-mediated inflammatory diseases. We aim to study MTXPG-3 levels as a biomarker for both efficacy and adverse events among psoriatic patients treated with methotrexate monotherapy. We used the LC-MS/MS (Liquid Chromatography Mass Spectrophotometry) system for measuring erythrocyte MTXPG-3. We recruited 106 patients with psoriasis who were treated with methotrexate. Sixty-one of them had psoriatic arthritis (concomitant or in the past). The mean age was 45.08 ± 13.04 years. After twenty-four weeks of methotrexate treatment, 73(69%) were responders, and 33(31%) were non-responders. Thirty-nine (36%) experienced adverse effects, and 67(64%) did not experience any adverse effects. We observed a significant positive correlation between erythrocyte MTXPG-3 and methotrexate dose per week at weeks 12 and 16 but not at week 24. Erythrocyte MTXPG-3 did not correlate with response or adverse effects. It can be used as a marker of compliance. Supplementary Information: The online version contains supplementary material available at 10.1007/s12291-024-01269-x.

Indexed as

MethotrexateMethotrexate polyglutamateMethotrexate polyglutamate threePsoriasisPsoriasis treatment response

Identifiers

PMID39835229
PMCPMC11741962

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.