TL;DR: The urinary metabolites of a number of S-substituted derivatives of 6-mercaptopurine have been determined in both mouse and man, and the relative antitumor activities of these compounds can be correlated with their metabolic fates in the two species.
Abstract: The urinary metabolites of a number of S-substituted derivatives of 6-mercaptopurine (6-MP) have been determined in both mouse and man. The metabolic fates of 6-MP, 6-(1-methyl-4-nitro-5-imidazolyl)thiopurine (B.W. 57-322) and 6-(2,4-dinitrophenyl)thiopurine (B.W. 59-318) are similar with respect to the amounts of free 6-MP and 6-thiouric acid excreted by both species. The dealkylation of 6-methylthiopurine is greater than that of 6-propylthiopurine in man, whereas in the mouse the opposite appears to be true. In man a predominant metabolite of the alkylthiopurines is the corresponding 6-alkylsulfinyl-8-hydroxypurine; in the mouse this pathway of inactivation is minor. The relative antitumor activities of these compounds can be correlated with their metabolic fates in the two species.
The catabolism of 6-MP to thiouric acid and sulfate is diminished by the administration of an inhibitor of xanthine oxidase, 4-hydroxypyrazolo(3,4- d )pyrimidine. This enzyme inhibition results in a several-fold potentiation in the antitumor activities of both 6-MP and 6-chloropurine when tested against Adenocarcinoma 755 in mice, and an improvement in the chemotherapeutic index of 6-chloropurine and possibly 6-MP in this system.
TL;DR: The thiopurine antimetabolites 6-thioguanine and 6-mercaptopurine are important chemotherapeutic drugs in the treatment of childhood acute lymphoblasts and peripheral mononuclear cells and for methylthioinosine nucleotides in red blood cells.
TL;DR: An HPLC method developed and validated for the rapid determination of mercaptopurine and four of its metabolites has been shown to be applicable for monitoring these metabolites in paediatric patients and has been successfully applied for investigating population pharmacokinetics, pharmacogenetics and non-adherence to therapy in these patients.
TL;DR: Thioguanine was found to be rapidly absorbed from the blood stream by the tissues and rapidly eliminated in the urine and in tumor it was converted primarily to nucleotides.
Abstract: Summary 6-Thioguanine was found to be rapidly absorbed from the blood stream by the tissues and rapidly eliminated in the urine. In tumor it was converted primarily to nucleotides; in intestine, liver, and bone marrow, approximately equal amounts of nucleotides and of thiouric acid were found. Tissue distribution and metabolites found with different times and doses were reported.