Pharmacogenomics in Clinical Therapeutics 2012
DOI: 10.1002/9781119959601.ch6
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Pharmacogenomics of Immunosuppressants

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“…According to the published reports, MPA is mainly metabolized to its inactive MPA‐phenyl‐glucuronide (MPAG) by several members of the UDP glucuronosyltransferase 1A family in which UGT1A9 (highly expressed in human kidney and liver) and UGT1A8 (exclusively expressed in intestinal cells) are the major enzymes. MPA is also metabolized to a minor acyl‐MPA‐glucuronide (acMPAG) by UGT2B7 and UGT1A8 (Picard and Marquet, ; Shipkova et al, ). In contrast to MPAG, acMPAG inhibits inosine‐monophosphate dehydrogenase activity with the same uncompetitive mechanism as MPA (Klepacki et al, ; Wolff et al, ).…”
Section: Resultsmentioning
confidence: 99%
“…According to the published reports, MPA is mainly metabolized to its inactive MPA‐phenyl‐glucuronide (MPAG) by several members of the UDP glucuronosyltransferase 1A family in which UGT1A9 (highly expressed in human kidney and liver) and UGT1A8 (exclusively expressed in intestinal cells) are the major enzymes. MPA is also metabolized to a minor acyl‐MPA‐glucuronide (acMPAG) by UGT2B7 and UGT1A8 (Picard and Marquet, ; Shipkova et al, ). In contrast to MPAG, acMPAG inhibits inosine‐monophosphate dehydrogenase activity with the same uncompetitive mechanism as MPA (Klepacki et al, ; Wolff et al, ).…”
Section: Resultsmentioning
confidence: 99%