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TPMT activity is characterized by a trimodal distribution, namely low, intermediate and high methylator.
gene promoter contains a variable number of GC-rich tandem repeats (VNTRs), namely A, B and C, ranging from three to nine repeats in length in an A
B
C architecture. We have previously shown that the VNTR architecture in the
gene promoter affects
gene transcription.
Here we demonstrate, using reporter assays, that 6-mercaptopurine (6-MP) treatment results in a VNTR architecture-dependent decrease of
gene transcription, mediated by the binding of newly recruited protein complexes to the
gene promoter, upon 6-MP treatment. We also show that acute lymphoblastic leukemia patients undergoing 6-MP treatment display a VNTR architecture-dependent response to 6-MP.
These data suggest that the
gene promoter VNTR architecture can be potentially used as a pharmacogenomic marker to predict toxicity due to 6-MP treatment in acute lymphoblastic leukemia patients.
Original submitted 27 July 2011; Revision submitted 24 October 2011