Recombinogenic, genotoxic, and cytotoxic effects of azathioprine using in vivo assays
Published in Journal of Toxicology and Environmental Health, Part A, 2021
A. V. D. Melo Bisneto, L. C. D. Oliveira, A. Silva Fernandes, L. S. Silva, J. H. Véras, C. G. Cardoso, Carolina R. E Silva, A. V. de Moraes Filho, C. C. Carneiro, L. Chen-Chen
To promote pharmacological effects, following oral administration, the Aza molecule is cleaved by enzymatic actions of glutathione transferases, giving rise to the nitroimidazole group and 6-mercaptopurine (6-MP). Subsequently, 6-MP is transformed by hypoxanthine-phosphoribosyl transferase into 6-thioinosine monophosphate, which is converted to 6-thioxanthine monophosphate (6-TXPM) by inosine-5-monophosphate dehydrogenase. Finally, through the action of the enzyme 5-monophosphate synthase, 6-TXPM generated 6-thioguanine (6-TG) which is incorporated into DNA as a false metabolite, blocking the synthesis of lymphocytes (FDA 2011).