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6-Mercaptopurine (6-MP) is an inhibitor of purine synthesis and interconversion.1 It is rapidly converted to 6-mercaptopurine ribonucleoside-5'-monophosphate, which inhibits phosphoribosyl pyrophosphate (PRPP) amidotransferase, the rate-limiting enzyme in purine synthesis. It also inhibits the conversion of IMP to adenylosuccinic acid and xanthylic acid and blocks AMP formation in vitro. 6-MP (30 mg/kg) inhibits growth of sarcoma 180, adenocarcinoma E 0771, and adenocarcinoma 755 tumors and reduces the size of leukemia L1210 subcutaneous growths in mice.2 It also decreases delayed-type hypersensitivity and thyroid inflammation in a guinea pig model of thyroiditis when administered pre- or post-disease onset.3 Formulations containing mercaptopurine have been used for maintenance therapy in patients with acute lymphoblastic leukemia.4
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1. Biochemical aspects of mercaptopurine inhibition and resistance. Cancer Res. 23(8), 1191-1201 (1963).
2. Observations on the anticancer activity of 6-
3. The effect of 6-
4. Adherence to 6-