TPMT

Referred to Berkshire & Surrey Pathology Services, Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ
 

Alternative names, keywords

Thiopurine methyltransferase

Samples required

EDTA blood (purple cap/ yellow cap ring, 4 mL tube).

Misleading results may be obtained if patient has had a recent red blood cell transfusion.

Test indications

To be used before starting azathioprine to test for idiotypic sensitivity.

Patients already on azathioprine or mercaptopurine may have increased activity due to induction of TPMT.

Reference range

Whole blood TPMT activity in mU/L:

Deficient

< 10

Low

20 - 67

Normal

68 - 150

High

> 150

Turnaround time

Referral lab quotes turnaround time of 5 days, however additional time must be allowed for packing, dispatch and delivery of sample, and return and processing of results.

Enquiries

Biochemistry (Referrals)