rdf:type |
|
lifeskim:mentions |
umls-concept:C0000618,
umls-concept:C0021390,
umls-concept:C0030705,
umls-concept:C0032893,
umls-concept:C0049668,
umls-concept:C0049718,
umls-concept:C0205210,
umls-concept:C0332293,
umls-concept:C0441889,
umls-concept:C0542559,
umls-concept:C1273870
|
pubmed:issue |
5
|
pubmed:dateCreated |
2003-4-18
|
pubmed:abstractText |
Measuring levels of 6-mercaptopurine (6-MP) metabolites (6-thioguanine nucleotides [6-TGNs] and 6-methylmercaptopurine [6-MMP]) has been proposed as a method to adjust 6-MP dose to optimize therapeutic response while minimizing toxicity in patients with inflammatory bowel disease. A 6-TGN level of >230 pmol/8 x 108 red blood cells (RBCs) has been reported to be associated with a higher efficacy rate, and a level of >450 pmol/8 x 108 RBCs has been reported to be associated with myelotoxicity. A 6-MMP level of >5,700 pmol/8 x 108 RBCs has been reported to be associated with an increased frequency of abnormal results of liver function tests (LFTs).
|
pubmed:commentsCorrections |
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0192-0790
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
36
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
390-5
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:12702978-6-Mercaptopurine,
pubmed-meshheading:12702978-Adult,
pubmed-meshheading:12702978-Aged,
pubmed-meshheading:12702978-Aged, 80 and over,
pubmed-meshheading:12702978-Female,
pubmed-meshheading:12702978-Guanine Nucleotides,
pubmed-meshheading:12702978-Humans,
pubmed-meshheading:12702978-Immunosuppressive Agents,
pubmed-meshheading:12702978-Inflammatory Bowel Diseases,
pubmed-meshheading:12702978-Male,
pubmed-meshheading:12702978-Middle Aged,
pubmed-meshheading:12702978-Retrospective Studies,
pubmed-meshheading:12702978-Thionucleotides
|
pubmed:articleTitle |
Utility of measuring 6-methylmercaptopurine and 6-thioguanine nucleotide levels in managing inflammatory bowel disease patients treated with 6-mercaptopurine in a clinical practice setting.
|
pubmed:affiliation |
University of Pittsburgh Medical Center Shadyside, Pennsylvania 15232, USA. mardinih@msx.upmc.edu
|
pubmed:publicationType |
Journal Article
|