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Thiopurine Dose in Intermediate and Normal Metabolizers of Thiopurine Methyltransferase May Differ Three-Fold  Sharon J. Gardiner, Richard B. Gearry,

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Presentation on theme: "Thiopurine Dose in Intermediate and Normal Metabolizers of Thiopurine Methyltransferase May Differ Three-Fold  Sharon J. Gardiner, Richard B. Gearry,"— Presentation transcript:

1 Thiopurine Dose in Intermediate and Normal Metabolizers of Thiopurine Methyltransferase May Differ Three-Fold  Sharon J. Gardiner, Richard B. Gearry, Evan J. Begg, Mei Zhang, Murray L. Barclay  Clinical Gastroenterology and Hepatology  Volume 6, Issue 6, Pages (June 2008) DOI: /j.cgh Copyright © 2008 AGA Institute Terms and Conditions

2 Figure 1 Metabolism of azathioprine and 6-MP. GMPS, guanosine monophosphate synthetase; HGPRT, hypoxanthine guanine phosphoribosyltransferase; IMPDH, inosine monophosphate dehydrogenase; TG, thioguanine; TGMP, thioguanine monophosphate; TGN, thioguanine nucleotides; TIMP, thionosine monophosphate; TXMP, thioxanthosine monophosphate. Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

3 Figure 2 (A) Thiopurine dose (as azathioprine equivalents) in TPMT*1/*1 (Δ) and *1/*3 (○) genotypes and in (B) normal (Δ, ≥9.3 IU/mL) phenotypes and intermediate (○, 5–9.2 IU/mL) and presented as mean and 95% CI. †Groups became significantly different (P < .05). Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

4 Figure 3 TPMT activity versus weight-adjusted thiopurine dose.
Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

5 Figure 4 (A) Actual and (B) dose-adjusted 6-TGN concentrations versus TPMT genotype at month 9. Data are presented as mean and 95% CI. Mean actual and dose-adjusted 6-TGN concentrations were 2-fold (P = .016) and 3-fold higher (P = .0007) in the TPMT*1/*3 versus the *1/*1 genotype, respectively. Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

6 Figure 5 Dose-adjusted 6-TGN concentrations versus TPMT activity (includes line of best fit plus 95% CI of this line). Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions


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