NCIt definition : Human TPMT wild-type allele is located in the vicinity of 6p22.3 and is approximately
26 kb in length. This allele, which encodes thiopurine S-methyltransferase protein,
is involved in the S-methylation of thiopurine drugs. Certain allelic variants of
the TPMT gene are associated with either decreased gene expression or reduced enzymatic
activity of their corresponding protein products.;
NCIt note : Thiopurine S-methylation is an important metabolic pathway for thiopurine drugs such
as 6-mercaptopurine. Both the tolerance and therapeutic efficacy of thiopurine drugs
are altered in individuals who exhibit inherited defects in the TPMT gene. These changes
in nucleotide sequence alter either gene expression or the catalytic activity of the
encoded thiopurine S-methyltransferase enzyme. The catalytic activity of this enzyme
varies among ethnic groups and is thought to be an important determinant of toxicity
associated with thiopurine medications.;