Pharmacogenetic determinants of thiopurines in an Indian cohort.
Shaik Mohammad NaushadMekala Janaki RamaiahVijay Kumar KutalaTajamul HussainSalman A AlrokayanPublished in: Pharmacological reports : PR (2020)
TPMT variants were less frequent in Indian population, while NUDT15*3 is more frequent compared to European and African/African American populations. NUDT15*3 increases aggregation 'hot spot' and induces unfavourable torsion in the protein. NUDT15*5 and TPMT*3C destabilize the respective proteins. TPMT*3A, TPMT*3B and TPMT*3C are associated with a lower binding affinity towards 6-mercaptopurine.