Cited by 477Carcinogens and Genotoxicity AssessmentImmunotoxicology and immune responsesBioactive Compounds and Antitumor Agents

Thiopurines in current medical practice: molecular mechanisms and contributions to therapy-related cancer

Karran, Peter, Attard, Natalie·2008·Nature Reviews Cancer

Abstract

Thiopurines have diverse clinical applications and their long-term use as anti-rejection drugs in transplant patients has been associated with a significantly increased risk of various types of cancer. Although they are slowly being replaced by a new generation of non-thiopurine immunosuppressants, it is anticipated that their use in the management of inflammatory and autoimmune diseases will continue to increase. Therapy-related cancer will remain a potential consequence of prolonged treatment for these generally non-life-threatening conditions. Understanding how thiopurines contribute to the development of cancer will facilitate clinical decisions about the potential risks to patients of long-term treatment for chronic inflammatory disorders.

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Crossref · 10.1038/nrc2292

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  • Thiopurines including azathioprine, 6-mercaptopurine, and 6-thioguanine are widely used in cancer therapy, for treatment of inflammatory disorders, and as immunosuppressants.

    “Thiopurines including azathioprine, 6-mercaptopurine and 6thioguanine (6-TG) are widely used in cancer therapy, for the treatment of inflammatory disorders and as immunosuppressants (204,205).”

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Authors
Karran, P., & Attard, N.
Affiliations
Cancer Research UK (GB)
Corresponding author
Karran, Peter
Venue
Nature Reviews Cancer
Published
2008-01
Volume
8
Issue
1
Pages
24-36
ISSN
  • 1474-175X (ISSN-L)
  • 1474-1768
OpenAlex
W2089190709
Cited by
477
References
101
Citations by year
2026: 17 · 2025: 29 · 2024: 23 · 2023: 30 · 2022: 44 · 2021: 36 · 2020: 32 · 2019: 22 · 2018: 32 · 2017: 38 · 2016: 30 · 2015: 19 · 2014: 25 · 2013: 16 · 2012: 19
FWCI
1.22
Type
journal article
Language
en
Open access
closed
Locations
  • Nature reviews. Cancer (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Carcinogens and Genotoxicity Assessment
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotoxicology and immune responses
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Bioactive Compounds and Antitumor Agents
Keywords
thiopurines, azathioprine, immunosuppressants, transplant recipients, carcinogenesis, molecular mechanisms, inflammatory and autoimmune diseases, chronic inflammation, drug safety
MeSH terms
Antineoplastic Agents, Azathioprine, Carcinogens, Cell Survival, Humans, Neoplasms, Purines, Sulfhydryl Compounds, Thioguanine, Mercaptopurine

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