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May 2003;133(5):1291-5

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Phosphoribosyl pyrophosphate synthetase 1 (PRPS1), whose function is to promote de novo purine biosynthesis, can increase the production of endogenous purines, which in turn compete with thiopurine drugs for the same enzymatic pathway, inhibiting their bioactivation ( Another well-known pathway of thiopurine metabolism is the production of inactive metabolites thiouric acid, which involves XDH and aldehyde oxidase (AOX)