ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2025
Relationship Between Thiopurine S-Methyltransferase Genotype and Phenotype in Pediatric Acute Lymphoblastic Leukemia in Addis Ababa, Ethiopia.
Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 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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Abstract
objectiveThiopurine S-methyltransferase (TPMT) is a cytosolic transmethylase enzyme that catalyzes the S-methylation of thiopurine drugs, the mainstay of acute lymphoblastic leukemia treatment. TPMT enzyme activity shows interindividual variability, which can partly be explained by genetic variants in the
methodsIn the present study, 73 on treatment and 32 treatment completed patients were included. TPMT activity was measured in whole blood of the participant by HPLC. The enzyme activity was expressed both in nmol6MTG/gHb/h and mU/L. The 3 most common variants in the
resultsOnly 2 patients carried the *3C variant (719A>C) (both heterozygous), no other variants were detected. In the treatment group, TPMT activity (nmol6MTG/gHb/h) was significantly higher than the treatment completed group (32 vs 25.55, p = 0.018). In the treatment group TPMT activity (nmol6MTG/gHb/h) was significantly higher in individuals with Hb < 12 g/dL compared with individuals with Hb ≥ 12 g/dL (34.05 vs 27, p = 0.037).
conclusionsThis study showed that the commonly genotyped variants in
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