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Thiopurine Methyltransferase (TPMT) Genetics

Additional Codes

LAB7832

Performing Laboratory

PROMETHEUS Laboratories Inc.

Methodology

PROMETHEUS TPMT Genetics helps classify patients as 1 of 3 genotypes: homozygous normal (wild type), heterozygous or homozygous recessive. Because each patient metabolizes thiopurines differently, the efficacy and toxicity of thiopurines can vary widely from patient to patient. Knowledge of the TPMT genotype may reduce time to response, allow physicians to individualize dosing, identify patients in whom thiopurine therapy should be avoided and help reduce the risk of leukopenia.

A qualitative evaluation, to determine a patient’s genetic ability to produce the thiopurine methyltransferase (TPMT) enzyme.

Specimen Requirements

Specimen Type: Whole blood
Container/Tube: Lavender top (EDTA)

Specimen Volume: 5 mL

Specimen Transport Temperature

Ambient <8 days/Refrigerated <30 days OK

Day(s) Test Set Up

Turnaround Time:

2 business days from date of receipt.

Reference Values

TPMT*1/TPMT*1 - Alleles present are associated with Normal Enzyme Activity

Test Classification and CPT Coding

81335