The c.415C>T polymorphism in NUDT15 is more frequent than the polymorphisms in TPMT in Chilean patients who use thiopurine drugs

dc.coverageDOI: 10.1097/FPC.0000000000000503
dc.creatorVon Muhlenbrock, Christian
dc.creatorEstay, Camila
dc.creatorCovarrubias, Natalia
dc.creatorMiranda, Julio
dc.creatorVenegas, Mauricio
dc.date2023
dc.date.accessioned2025-11-18T19:52:30Z
dc.date.available2025-11-18T19:52:30Z
dc.description<p>Azathioprine (AZA) and 6-mercaptopurine (6-MP) are drugs widely used in the treatment of autoimmune diseases. Among the enzymes involved in the metabolism of AZA and 6-MP are thiopurine methyltransferase (TPMT) and nudix hydrolase 15 (NUDT15). The existence of single nucleotide polymorphisms in the genes that code for these enzymes could decreased enzymatic activity AND lead to severe myelosuppression. The most relevant polymorphism is NUDT15∗3 (rs116855232), where the replacement of cytosine for thymine at position 415, which in turn leads to a loss of enzymatic activity. In a previous study, it was identified that together the polymorphisms in the TPMT gene reach an allelic frequency of 3.81%. There is no information regarding the rs116855232 polymorphism in the NUDT15 gene, so this corresponds to the objective of this report. Blood samples from Chilean adult patients with indications for the use of AZA or 6-MP for different pathologies and who had undergone a TPMT gene polymorphism study were retrospectively analyzed. A total of 253 blood samples were analyzed. Of the 253 patients, 47 presented the c.415C&gt;T polymorphism in the NUDT15 gene, 3 being homozygous and 44 heterozygous. Four of the heterozygous patients for NUDT15 also had the ∗3A variant in the TPMT gene, also heterozygous. The allelic frequency of the minor T allele found (9.88%) was very similar to that found in patients of Asian origin, and much higher than that reported for the European Caucasian or Latin American population.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/a745cb26-ce87-42a2-b58f-eb354f6978eb
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/57748
dc.languageeng
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.sourcevol.33 (2023) date: 2023-09-01 nr.7 p.161-163
dc.subjectmyelosuppression
dc.subjectNUDT15
dc.subjectpharmacogenetics
dc.subjectthiopurine
dc.subjectTPMT
dc.titleThe c.415C&gt;T polymorphism in NUDT15 is more frequent than the polymorphisms in TPMT in Chilean patients who use thiopurine drugseng
dc.typeArticleeng
dc.typeArtículospa
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