Thiopurine methyltransferase activity in a Spanish population sample: decrease of enzymatic activity in multiple sclerosis patients

The present study was performed in order to obtain the thiopurine methyltransferase (TPMT) activity frequency distribution histogram in a Spanish population. A total of 3640 Spanish clinical laboratory samples were evaluated, which included 1249 patients with Crohn’s disease, 589 with ulcerative col...

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Veröffentlicht in:Multiple sclerosis 2002-05, Vol.8 (3), p.243-248
Hauptverfasser: Menor, C, Fueyo, J, Escribano, O, Piña, M J, Redondo, P, Cara, C, Román, I D, Fernández-Moreno, M D, Guijarro, L G
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container_end_page 248
container_issue 3
container_start_page 243
container_title Multiple sclerosis
container_volume 8
creator Menor, C
Fueyo, J
Escribano, O
Piña, M J
Redondo, P
Cara, C
Román, I D
Fernández-Moreno, M D
Guijarro, L G
description The present study was performed in order to obtain the thiopurine methyltransferase (TPMT) activity frequency distribution histogram in a Spanish population. A total of 3640 Spanish clinical laboratory samples were evaluated, which included 1249 patients with Crohn’s disease, 589 with ulcerative colitis, 348 with multiple sclerosis (MS), 487 with several autoimmune diseases different from the above-mentioned diseases and 967 a donor group. We have measured the TPMT activity in red blood cells (RBCs) by a radiochemical method, using S-adenosyl-L-[methyl-3H]methionine as methyl donor. The different groups present in their entirety a normal distribution histogram and a wide range of TPMT activity from 0 to 41 U/ml RBCs. The differences found between the Spanish population TPMT activity frequency distribution histogram and the pattern previously described in a North American population were not due to azathioprine treatment or gender. The effect of autoimmune diseases on TPMT activity was evaluated: the enzymatic activity was similar in the donor group (19.9-6.3 U/ml RBCs) and in the patients with Crohn’s disease (20.0-5.8 U/ml RBCs) and ulcerative colitis (19.7-6.1 U/ml RBCs); however, it decreased significantly (p
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A total of 3640 Spanish clinical laboratory samples were evaluated, which included 1249 patients with Crohn’s disease, 589 with ulcerative colitis, 348 with multiple sclerosis (MS), 487 with several autoimmune diseases different from the above-mentioned diseases and 967 a donor group. We have measured the TPMT activity in red blood cells (RBCs) by a radiochemical method, using S-adenosyl-L-[methyl-3H]methionine as methyl donor. The different groups present in their entirety a normal distribution histogram and a wide range of TPMT activity from 0 to 41 U/ml RBCs. The differences found between the Spanish population TPMT activity frequency distribution histogram and the pattern previously described in a North American population were not due to azathioprine treatment or gender. The effect of autoimmune diseases on TPMT activity was evaluated: the enzymatic activity was similar in the donor group (19.9-6.3 U/ml RBCs) and in the patients with Crohn’s disease (20.0-5.8 U/ml RBCs) and ulcerative colitis (19.7-6.1 U/ml RBCs); however, it decreased significantly (p&lt;0.0001) in MS patients (17.1-6.1 U/ml RBCs) with respect to the donor group. In conclusion, our results show that the Spanish population TPMT distribution is closer to that of the Jewish population of Israel than to North American populations, and that in MS the enzymatic activity of TPMT decreases significantly. 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A total of 3640 Spanish clinical laboratory samples were evaluated, which included 1249 patients with Crohn’s disease, 589 with ulcerative colitis, 348 with multiple sclerosis (MS), 487 with several autoimmune diseases different from the above-mentioned diseases and 967 a donor group. We have measured the TPMT activity in red blood cells (RBCs) by a radiochemical method, using S-adenosyl-L-[methyl-3H]methionine as methyl donor. The different groups present in their entirety a normal distribution histogram and a wide range of TPMT activity from 0 to 41 U/ml RBCs. The differences found between the Spanish population TPMT activity frequency distribution histogram and the pattern previously described in a North American population were not due to azathioprine treatment or gender. The effect of autoimmune diseases on TPMT activity was evaluated: the enzymatic activity was similar in the donor group (19.9-6.3 U/ml RBCs) and in the patients with Crohn’s disease (20.0-5.8 U/ml RBCs) and ulcerative colitis (19.7-6.1 U/ml RBCs); however, it decreased significantly (p&lt;0.0001) in MS patients (17.1-6.1 U/ml RBCs) with respect to the donor group. In conclusion, our results show that the Spanish population TPMT distribution is closer to that of the Jewish population of Israel than to North American populations, and that in MS the enzymatic activity of TPMT decreases significantly. This observation may take into account the usage of azathioprine as therapeutic agent in Spanish MS patients.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>12120697</pmid><doi>10.1191/1352458502ms796oa</doi><tpages>6</tpages></addata></record>
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subjects Azathioprine - therapeutic use
Biological and medical sciences
Colitis, Ulcerative - drug therapy
Colitis, Ulcerative - enzymology
Crohn Disease - drug therapy
Crohn Disease - enzymology
Erythrocytes - enzymology
Female
Humans
Immunosuppressive Agents - therapeutic use
Male
Medical sciences
Methyltransferases - metabolism
Multiple Sclerosis - drug therapy
Multiple Sclerosis - enzymology
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
Spain
title Thiopurine methyltransferase activity in a Spanish population sample: decrease of enzymatic activity in multiple sclerosis patients
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