Thiopurine S-methyltransferase activity in human erythrocytes: a new HPLC method using 6-thioguanine as substrate

Objectives: To develop a non-radioactive assay to measure thiopurine S-methyltransferase (TPMT) activity. The assay was used to study the distribution of TPMT activity in a healthy German population. Methods: The assay is based on the conversion of 6-thioguanine (6-TG) to 6-methylthioguanine (6-MTG) using non-radiolabelled S-adenosyl-l-methionine (SAM) as the methyl donor. At the end of the incubation period (60 min) 6-MTG is extracted into chloroform/2-propanol and quantitated by reversed-phase high-performance liquid chromatography (HPLC) with fluorescence detection at Ex 315 nm and Em 390 nm. Results and discussion: The method is rapid, sensitive and reproducible, with an interassay CV of 6.7% (quality control sample with TPMT activity of 43 nmol 6-MTG · g⁻¹ Hb · h⁻¹) and thus suitable for routine monitoring of TPMT activity. The TPMT activity of 219 healthy German blood donors showed the known trimodal distribution with a range from 1.3 to 68.3 nmol 6-MTG · g⁻¹ Hb · h⁻¹ with a median value of 38.8 nmol 6-MTG · g⁻¹ Hb · h⁻¹. When the cut-off value for intermediate to high activity was set at 23.5 nmol 6-MTG · g⁻¹ Hb · h⁻¹, 14.1% belonged to the group with intermediate and 83.6% to the group with high TPMT activity. Five individuals had a very low TPMT activity of <2 nmol 6-MTG · g⁻¹ Hb · h⁻¹. Genetic analysis revealed that these persons were found either homozygote for the variant allele *3A (n=3) or they were compound heterozygotes for the variant alleles *3A/*3C (n=2). With these alleles for low TPMT activity they would run an increased risk of myelosuppression in case of treatment with standard doses of thiopurine drugs. Received: 30 September 1997 / Accepted in revised form: 17 January 1998