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Summary6‐Mercaptopurine (6‐MP) is widely used for the treatment of paediatric leukaemia and lymphoma. Recently, germline variants in the NUDT15 gene have been identified as one of the major genetic causes for 6‐MP–associated adverse effects such as myelosuppression.
Masanori Yoshida +23 more
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NUDT15 variants affect mercaptopurine tolerance in children [PDF]
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A common missense variant in NUDT15 confers susceptibility to thiopurine-induced leukopenia [PDF]
Thiopurine therapy, commonly used in autoimmune conditions, can be complicated by life-threatening leukopenia. This leukopenia is associated with genetic variation in TPMT (encoding thiopurine S-methyltransferase). Despite a lower frequency of TPMT mutations in Asians, the incidence of thiopurine-induced leukopenia is higher in Asians than in ...
Suk-Kyun Yang +2 more
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NUDT15: A bench to bedside success story
Clinical Biochemistry, 2021Recently, the enzyme nudix hydrolase 15 (NUDT15) has been identified as an additional component of the thiopurine metabolism pathway. NUDT15 (also known as MTH2) catalyzes the dephosphorylation of 6-thioguanosine triphosphate (6-TGTP) and 6-thio-deoxyguanosine triphosphate (6-TdGTP), which is the active metabolite of thiopurine medications.
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NUDT15 genotype distributions in the Korean population
Pharmacogenetics and Genomics, 2017Thiopurines have a narrow therapeutic range because of frequent toxicity (i.e. marrow suppression), which is only partly explained by TPMT genetic polymorphisms, especially within Asian populations. Recent studies have identified NUDT15 variation as another important factor affecting thiopurine metabolism.
Hyoung-Tae, Kim +9 more
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Cost-effectiveness analysis of pretreatment screening for NUDT15 defective alleles
Pharmacogenetics and Genomics, 2020Background Nucleotide triphosphate diphosphatase (NUDT15) genetic testing in addition to thiopurine methyl transferase (TPMT) is recommended to reduce the incidence of adverse severe myelotoxicity episodes induced by thiopurines. Objective We assessed the cost-effectiveness ratio of
Kevin, Zarca +4 more
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Childhood acute lymphoblastic leukemia mercaptopurine intolerance is associated with NUDT15 variants
Pediatric Research, 2020Mercaptopurine-induced neutropenia can interrupt chemotherapy and expose patients to infection during childhood acute lymphoblastic leukemia (ALL) treatment. Previously, six candidate gene variants associated with mercaptopurine intolerance were reported.
Der-Shiun, Wang +11 more
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NUDT15 polymorphism in healthy children with Bai nationality in Yunnan of China
Pediatrics International, 2021AbstractBackgroundThiopurine methyltransferase (TPMT) polymorphism is one of the causes of the toxicity of thiopurines, but this is rarely seen in Asian populations. Rather, the nucleoside diphosphate‐linked X‐component motif 15 (NUDT15) gene is frequently linked to mercaptopurine (MP) intolerance and myelotoxicity in children with acute lymphoblastic ...
Gangling Pu +9 more
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Preemptive NUDT15 genotyping: redefining the management of patients with thiopurine-induced toxicity
Drug Metabolism and Personalized Therapy, 2018AbstractBackground:Thiopurine methyltransferase (TPMT) gene variants have achieved limited success in predicting the outcome of thiopurine therapy, which shows wide inter-individual variations. The literature indicates a strong association between theNUDT15gene variant and thiopurine-induced toxicity in Asian patients.
Swarup A.V. Shah +3 more
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472 - NUDT15 Variants Contribute to Thiopurine-Induced Myelosuppression in European Populations
Gastroenterology, 2018Introduction Thiopurines are commonly used in the maintenance treatment of inflammatory bowel disease (IBD) but this is limited by myelosuppression in 7% of patients.1 Thiopurine S-methyltransferase (TPMT) variants only explain 20% of thiopurine-induced myelosuppression (TIM) in Europeans suggesting the presence of other genetic determinants.2 We ...
Gareth J. Walker +15 more
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