Annotation Detail

Information
Associated Genes
NT5C2
Associated Variants
NT5C2 p.Arg375Gln (p.R375Q) ( ENST00000675985.1, ENST00000675326.1, ENST00000674860.1, ENST00000674696.1, ENST00000676449.1, ENST00000404739.8, ENST00000675645.1, ENST00000676428.1, ENST00000343289.9 )
NT5C2 p.Arg375Gln (p.R375Q) ( ENST00000343289.9, ENST00000404739.8, ENST00000674696.1, ENST00000674860.1, ENST00000675326.1, ENST00000675645.1, ENST00000675985.1, ENST00000676428.1, ENST00000676449.1 )
Associated Disease
childhood acute lymphocytic leukemia
Source Database
CIViC Evidence
Description
Lentiviral-mediated overexpression of NT5C2 R367Q in Reh cells resulted in significant resistance against thiopurines (mercaptopurine and thioguanine) versus wildtype and GFP controls, as indicated by reduced apoptosis. Compared to controls, overexpression cells also displayed reduced intercellular thioguanoside nucleotides after 24 hours of drug exposure, as measured by HPLC. Additionally, recombinant protein expression of R367Q led to increased 5’ nucleotidase activity.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/7862
Gene URL
https://civic.genome.wustl.edu/links/genes/9189
Variant URL
https://civic.genome.wustl.edu/links/variants/238
Rating
4
Evidence Type
Predictive
Disease
Childhood Acute Lymphocytic Leukemia
Evidence Direction
Supports
Drug
Thioguanine,Mercaptopurine
Evidence Level
D
Clinical Significance
Resistance
Pubmed
23377183
Drugs
Drug NameSensitivitySupported
MercaptopurineResitance or Non-Reponsetrue
ThioguanineResitance or Non-Reponsetrue