Host thiopurine methyltransferase status affects mercaptopurine antileukemic effectiveness in a murine model.

ABSTRACT:

Background

Thiopurines are used for many cancers, including acute lymphoblastic leukemia (ALL). Patients with an inherited host defect in thiopurine methyltransferase (TPMT) are at high risk for life-threatening toxicity if treated with conventional dosages, but the impact on antileukemic efficacy is less clear.

Materials and methods

We treated thiopurine-sensitive BCR-ABL+Arf-null Tpmt+/+ ALL in Tpmt+/+, +/-, or -/- recipient mice to test the impact of the host polymorphism on antileukemic efficacy.

Results

Median survival was similar in untreated mice of different Tpmt genotypes (16-18 days). However, in mice treated with low-dose mercaptopurine (such as tolerated by TPMT-/- patients), the difference in 30-day leukemia-free survival by Tpmt genotype was profound: 5%

SUBMITTER: Ramsey LB 

PROVIDER: S-EPMC4019208 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature