Evidence map›Paper›PMID 42538758›Full record

ArticleBiomedical chromatography : BMC2026

Development and Validation of Simultaneous Quantification of 6TGN and 6MMPN in Whole Blood Using LC-MS/MS: An Application to Therapeutic Drug Monitoring in Hematological Malignancies and in Inflammatory Bowel Diseases.

Marie Allard, Nicolas Vignal, Aude Loiseau, Hélène Sauvageon, Yves Médard, Alain Plé, Evelyne Jacqz-Aigrain, Samia Mourah, Lauriane Goldwirt

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Article in Biomedical chromatography : BMC, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Marie AllardGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Nicolas VignalGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.ORCID https://orcid.org/0000-0002-4833-2763
Aude LoiseauGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Hélène SauvageonGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Yves MédardGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Alain PléGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Evelyne Jacqz-AigrainGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.ORCID https://orcid.org/0000-0002-4285-7067
Samia MourahGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.
Lauriane GoldwirtGenomic Medicine and Pharmacology Department, AP-HP, Hôpital Saint-Louis, Paris, France.ORCID https://orcid.org/0000-0001-9741-803X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thiopurine immunosuppressive drugs are indicated in children with acute lymphoblastic leukemia and in both children and adults with chronic inflammatory diseases. Therapeutic drug monitoring (TDM) of its DNA-incorporated metabolites 6-thioguanine nucleotides (6TGN) and 6-methylmercaptopurine nucleotides (6MMPN) is of high interest to optimize efficacy and prevent toxicity. The objective of this study was to develop and validate a sensitive and simple LC-MS/MS method for the simultaneous quantification of 6TGN and 6MMPN in whole blood for TDM. Following red blood cell count and whole blood extraction with dithiothreitol plus acidic hydrolysis at 100°C, quantification was performed using an LC-MS/MS in positive ionization mode. Calibration curves were linear over the range of 20-1000 ng/mL for 6TGN and 20-20,000 ng/mL for 6MMPN, with correlation coefficients above 0.99 for all analytes. Intra- and inter-day precisions were below 9.45%. Extraction recovery and matrix effects reached 78.9%-83.2% and 121% for 6TGN and 92.2%-95.2% and 112%-118% for 6MMPN, respectively. The method was applied to 749 clinical samples from patients with acute lymphoblastic leukemia or chronic inflammatory diseases. A sensitive and simple LC-MS/MS method was validated for 6TGN and 6MMPN in whole blood and was successfully applied to clinical samples for TDM.

Indexed as

Drug MonitoringGuanine NucleotidesHematologic NeoplasmsInflammatory Bowel DiseasesLiquid Chromatography-Mass SpectrometryMercaptopurineTandem Mass SpectrometryThionucleotidesChromatography, LiquidHumansLimit of DetectionLinear ModelsReproducibility of ResultsSensitivity and Specificity6-thioguanylic acidGuanine NucleotidesMercaptopurineThionucleotides6MMPN6TGNtherapeutic drug monitoringthiopurinewhole blood

Identifiers

PMID42538758
PMCPMC13428185

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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.