
TPMT and NUDT15 Gene Analysis







The TPMT and NUDT15 Gene Analysis is a genetic test that examines TPMT and NUDT15 genes, which play a key role in metabolizing thiopurine medications. This test helps doctors choose the safest and most effective dose of drugs like mercaptopurine, azathioprine, and thioguanine, reducing the risk of serious side effects such as low white blood cells or bone marrow problems.









Understanding TPMT and NUDT15 Gene Analysis
TPMT (thiopurine S-methyltransferase) and NUDT15 (nudix hydrolase 15) gene analysis is an important test that helps doctors personalize treatment, especially for patients taking thiopurine medications. Thiopurines are strong drugs used to treat conditions like leukemia and inflammatory bowel disease (IBD), but they can sometimes cause serious side effects, such as neutropenia (decreased white blood cells).
These genes control enzymes that break down thiopurines in the body. Changes (variants) in these genes can affect how well your body processes the drugs. This test checks for such changes to identify people who may be at higher risk of side effects from standard doses. Knowing your TPMT and NUDT15 status helps doctors adjust the medication dose to make treatment safer and more effective.
Doctors may recommend the TPMT and NUDT15 Gene Analysis for patients starting thiopurine medications, such as mercaptopurine, azathioprine, or thioguanine, especially if they have a history of severe reactions, a family history of drug sensitivity, or conditions like leukemia, autoimmune disorders, or inflammatory bowel disease (IBD). Accurate testing of TPMT and NUDT15 helps doctors tailor treatment, prevent serious side effects like bone marrow suppression, liver problems, or flu-like symptoms, and ensure safe and effective therapy.
For this test, it is important to submit the clinical history, histopathology report, previous test results, and a doctor’s prescription at the time of sample collection. The Tata 1mg consolidated Test Requisition Form (TRF) must also be duly filled and submitted.
Lab test results may vary across different laboratories. Abnormal test results require an expert interpretation. Therefore, never try to self-medicate at home based solely on these results, and always consult a doctor for proper understanding of the test results.
Note: Genetic counseling can be provided. If interested, please send the request to this email id:[email protected]
What does TPMT and NUDT15 Gene Analysis measure?
The TPMT and NUDT15 Gene Analysis test detects inherited (germline) variations in the TPMT and NUDT15 genes that affect how the body metabolizes thiopurine drugs.
TPMT gene: Variants can lead to normal, intermediate, or poor metabolism of thiopurines, affecting drug tolerance and risk of toxicity.
NUDT15 gene: Variants are associated with a higher risk of severe myelosuppression, particularly in certain populations.
By analyzing these genes, the test provides a personalized molecular profile that helps doctors adjust medication doses to reduce side effects, optimize treatment plans for conditions such as leukemia, inflammatory bowel disease, and autoimmune disorders, and improve overall patient safety and therapeutic outcomes. Abnormal results indicate that standard doses of thiopurines may be unsafe and may require dose modification or alternative therapies, and your doctor will use these results to guide safe and effective treatment.





FAQs related to TPMT and NUDT15 Gene Analysis
- Goh LL, Lim CW, Leong KP, Ong KH. TPMT and NUDT15 testing for thiopurine therapy: A major tertiary hospital experience and lessons learned. Front Pharmacol. 2022 Sep 23;13:837164. [Accessed 15 Oct. 2025]. Available From:
- Pratt VM, Cavallari LH, Fulmer ML, Gaedigk A, Hachad H, Ji Y, Kalman LV, Ly RC, Moyer AM, Scott SA, van Schaik RHN, Whirl-Carrillo M, Weck KE. TPMT and NUDT15 Genotyping Recommendations: A Joint Consensus Recommendation of the Association for Molecular Pathology, Clinical Pharmacogenetics Implementation Consortium, College of American Pathologists, Dutch Pharmacogenetics Working Group of the Royal Dutch Pharmacists Association, European Society for Pharmacogenomics and Personalized Therapy, and Pharmacogenomics Knowledgebase. J Mol Diagn. 2022 Oct;24(10):1051-1063. [Accessed 15 Oct. 2025]. Available From:
Other tests
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin)
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)














