Abstract
Thiopurine antimetabolites have been in clinical use for more than 40 years, yet the metabolism of thiopurines remains only partially understood. Data from our previous pediatric phase 1 trial of continuous i.v. infusion of thioguanine (CIVI-TG) suggested that TG was eliminated by saturable mechanism, with conversion of the drug to an unknown metabolite. In this study we have identified this metabolite as 8-hydroxy-thioguanine (8-OH-TG). The metabolite coeluted with the 8-OH-TG standard on HPLC and had an identical UV spectrum, with a λ(max) of 350 nm. On mass spectroscopy, the positive ion, single quad scan of 8-OH-TG yielded a protonated molecular ion at 184 Da and contained diagnostic ions at m/z 167, 156, 142, and 125 Da. Incubation of TG in vitro with partially purified aldehyde oxidase resulted in 8-OH-TG formation. 8-OH-TG is the pre-dominant circulating metabolite found in patients receiving CIVI-TG and is likely generated by the action of aldehyde oxidase.
Original language | English |
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Pages (from-to) | 870-874 |
Number of pages | 5 |
Journal | Journal of Pharmacology and Experimental Therapeutics |
Volume | 291 |
Issue number | 2 |
State | Published - 1 Nov 1999 |
Externally published | Yes |
ASJC Scopus subject areas
- Molecular Medicine
- Pharmacology