Pro32Thr polymorphism of inosine triphosphate pyrophosphatase gene predicts efficacy of low-dose azathioprine for patients with systemic lupus erythematosus

Clin Pharmacol Ther. 2009 May;85(5):527-30. doi: 10.1038/clpt.2008.261. Epub 2009 Jan 7.

Abstract

We evaluated the relationship between the efficacy of low-dose azathioprine (AZA) therapy and the inosine triphosphate pyrophosphatase (ITPA) 94C>A (Pro32Thr) polymorphism in patients with systemic lupus erythematosus (SLE). We performed a multiple regression analysis to assess the influence of various factors on the reduction in SLE disease activity index (SLEDAI) scores. The ITPA 94C>A polymorphism had the highest correlation with the change in SLEDAI score (r = 0.354, P = 0.006).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alleles
  • Asian People / genetics
  • Azathioprine / pharmacology
  • Azathioprine / therapeutic use*
  • Female
  • Glutathione Transferase / genetics
  • Humans
  • Immunosuppressive Agents / pharmacology
  • Immunosuppressive Agents / therapeutic use*
  • Inosine Triphosphatase
  • Japan / epidemiology
  • Lupus Erythematosus, Systemic / drug therapy*
  • Lupus Erythematosus, Systemic / genetics
  • Male
  • Methyltransferases / genetics
  • Middle Aged
  • Polymorphism, Genetic*
  • Pyrophosphatases / genetics*
  • Regression Analysis
  • Retrospective Studies
  • Severity of Illness Index
  • Young Adult

Substances

  • Immunosuppressive Agents
  • Methyltransferases
  • thiopurine methyltransferase
  • Glutathione Transferase
  • Pyrophosphatases
  • Azathioprine