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Association of Genetic Variants in NUDT15 With Thiopurine-Induced Myelosuppression in Patients With Inflammatory Bowel Disease
Author(s) -
G Walker,
James Harrison,
Graham Heap,
Michiel Voskuil,
Vibeke Andersen,
Carl A. Anderson,
Ashwin N. Ananthakrishnan,
Jeffrey C. Barrett,
Laurent Beaugerie,
Claire Bewshea,
Andy T. Cole,
Fraser Cummings,
Mark Daly,
Pierre Ellul,
Richard N. Fedorak,
Eleonora A. Festen,
Timothy H. Florin,
Daniel R. Gaya,
Jonas Halfvarson,
Ailsa Hart,
Neel Heerasing,
Peter Hendy,
Peter M. Irving,
Samuel E. Jones,
Jukka Koskela,
James O. Lindsay,
John Mansfield,
Dermot McGovern,
Miles Parkes,
Richard Pollok,
S. Ramakrishnan,
David S. Rampton,
Manuel A. Rivas,
Richard K. Russell,
Michael Schultz,
Shaji Sebastian,
Philippe Seksik,
Abhey Singh,
Kenji So,
Harry Sokol,
Kavitha Subramaniam,
Anthony Todd,
Vito Annese,
Rinse K. Weersma,
Ramnik J. Xavier,
Rebecca Ward,
Michael N. Weedon,
James Goodhand,
Nicholas A. Kennedy,
Tariq Ahmad
Publication year - 2019
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.2019.0709
Subject(s) - thiopurine methyltransferase , medicine , genome wide association study , inflammatory bowel disease , odds ratio , pharmacogenetics , interquartile range , azathioprine , ulcerative colitis , cohort , genetic association , disease , gastroenterology , genotype , single nucleotide polymorphism , genetics , biology , gene
Use of thiopurines may be limited by myelosuppression. TPMT pharmacogenetic testing identifies only 25% of at-risk patients of European ancestry. Among patients of East Asian ancestry, NUDT15 variants are associated with thiopurine-induced myelosuppression (TIM).

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