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6-Methylmercaptopurine (6-MMP) is a metabolite of the purine synthesis and interconversion inhibitor 6-mercaptopurine (6-MP; Item No. 23675).1 It is formed from 6-MP via methylation by thiopurine S-methyltransferase. Levels of 6-MMP are increased in patients with altered thiopurine metabolism and associated with therapeutic resistance to 6-MP.2
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1. Pharmacogenomics and adverse drug reactions in children. Front. Genet. 5, 78 (2014).
2. High TPMT enzyme activity does not explain drug resistance due to preferential 6-