Page last updated: 2024-10-23

azathioprine and Lymphopenia

azathioprine has been researched along with Lymphopenia in 33 studies

Azathioprine: An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed)
azathioprine : A thiopurine that is 6-mercaptopurine in which the mercapto hydrogen is replaced by a 1-methyl-4-nitroimidazol-5-yl group. It is a prodrug for mercaptopurine and is used as an immunosuppressant, prescribed for the treatment of inflammatory conditions and after organ transplantation and also for treatment of Crohn's didease and MS.

Lymphopenia: Reduction in the number of lymphocytes.

Research Excerpts

ExcerptRelevanceReference
"This observation suggests that the higher frequency of lymphopenia may be associated with the elevated 6-TGN concentrations recovered in patients treated with aminosalicylates."7.76High thiopurine metabolite concentrations associated with lymphopenia in inflammatory bowel disease (IBD) pediatric patients receiving aminosalicylates combined with azathioprine. ( Boulieu, R; Lachaux, A; Le Gall, C; Nguyen, TM, 2010)
"Azathioprine is commonly used in Crohn's disease."5.48A Severe Neonatal Lymphopenia Associated With Administration of Azathioprine to the Mother in a Context of Crohn's Disease. ( Audrain, M; Caldari, D; Dert, C; Hémont, C; Joyau, C; Léger, A; Mirallié, S; Monteil-Ganiere, C; Thomas, C, 2018)
" In this subgroup, thiopurine dosing was modified in 64% (dosage reduction: 32%, medication discontinued: 32%)."5.43The Impact of Azathioprine-Associated Lymphopenia on the Onset of Opportunistic Infections in Patients with Inflammatory Bowel Disease. ( Biedermann, L; Frei, P; Fried, M; Rogler, G; Scharl, M; Scharl, S; Sulz, MC; Vavricka, SR; Vögelin, M; Zeitz, J, 2016)
"Lymphopenia is a recognized effect of this treatment, but lymphopenia-related complications in IBD patients have not been widely reported."5.37Natural history of azathioprine-associated lymphopenia in inflammatory bowel disease patients: a prospective observational study. ( Al Rifai, A; Campbell, S; McBurney, H; Newman, W; Prasad, N; Pushpakom, S; Robinson, A; Shuttleworth, E, 2011)
"We report on a 25-year-old female patient with Crohn's disease and profound lymphocytopenia while receiving corticosteroids and azathioprine."3.88[Severe lymphopenia in a patient with Crohn's disease]. ( Hasselblatt, P; Kreisel, W; Monasterio, C, 2018)
"This observation suggests that the higher frequency of lymphopenia may be associated with the elevated 6-TGN concentrations recovered in patients treated with aminosalicylates."3.76High thiopurine metabolite concentrations associated with lymphopenia in inflammatory bowel disease (IBD) pediatric patients receiving aminosalicylates combined with azathioprine. ( Boulieu, R; Lachaux, A; Le Gall, C; Nguyen, TM, 2010)
" Here we report the case of a patient with myasthenia gravis receiving long-term immunosuppression with azathioprine and recurrent well-differentiated thymic carcinoma who developed CD4+ T-cell depletion and CNS cryptococcosis after multiple courses of chemotherapy and mediastinal irradiation."3.70Late onset immunodeficiency in a patient with recurrent thymic carcinoma and myasthenia gravis. ( Padberg, F; Schmidt, S, 1998)
" He had CD4 lymphocytopenia during azathioprine and topical corticosteroid therapy for atopic dermatitits (AD)."3.69Kaposi's sarcoma during immunosuppressive therapy for atopic dermatitis. ( Janssens, P; Lachapelle, JM; Lambert, M; Tennstedt, D; Vandercam, B, 1997)
" Subsequent to cadaveric renal transplant and 8 years of immunosuppressive treatment with prednisone and azathioprine, the patient developed multiple life-threatening infections."3.67Hypogammaglobulinemia in a renal transplant recipient with antiglomerular basement membrane disease. ( Hasbargen, J; Rickman, W; Smolin, MR, 1988)
"A patient with long-standing filarial chyluria developed severe lymphocytopenia, extensive mucosal candidiasis and disseminated cryptococcosis when given small doses of prednisolone and azathioprine, for the treatment of a co-existing chronic active hepatitis."3.66Filarial chyluria with opportunistic infections. ( Chandy, M; Date, A; Pulimood, BM, 1983)
"Azathioprine (AZA) is a purine analogue which has been used in the treatment of multiple sclerosis (MS) for over 30 years."2.46[Oral cladribine for relapsing-remitting multiple sclerosis: another purine analogue or a genuine therapeutic innovation?]. ( Schmidt, S, 2010)
"Azathioprine is commonly used in Crohn's disease."1.48A Severe Neonatal Lymphopenia Associated With Administration of Azathioprine to the Mother in a Context of Crohn's Disease. ( Audrain, M; Caldari, D; Dert, C; Hémont, C; Joyau, C; Léger, A; Mirallié, S; Monteil-Ganiere, C; Thomas, C, 2018)
" In this subgroup, thiopurine dosing was modified in 64% (dosage reduction: 32%, medication discontinued: 32%)."1.43The Impact of Azathioprine-Associated Lymphopenia on the Onset of Opportunistic Infections in Patients with Inflammatory Bowel Disease. ( Biedermann, L; Frei, P; Fried, M; Rogler, G; Scharl, M; Scharl, S; Sulz, MC; Vavricka, SR; Vögelin, M; Zeitz, J, 2016)
"Lymphopenia is a recognized effect of this treatment, but lymphopenia-related complications in IBD patients have not been widely reported."1.37Natural history of azathioprine-associated lymphopenia in inflammatory bowel disease patients: a prospective observational study. ( Al Rifai, A; Campbell, S; McBurney, H; Newman, W; Prasad, N; Pushpakom, S; Robinson, A; Shuttleworth, E, 2011)
"Lymphopenia is a common clinical manifestation in patients with systemic lupus erythematosus (SLE)."1.37Quantitative and functional profiles of CD4+ lymphocyte subsets in systemic lupus erythematosus patients with lymphopenia. ( Alcocer-Varela, J; Crispín, JC; Díaz-Zamudio, M; Gómez-Martín, D; Vanoye, G, 2011)
"Common characteristics include: Crohn's disease (CD), thiopurine administration, fever lasting more than 5 days, lymphadenopathy, splenomegaly, anemia, lymphopenia, and elevated serum triglycerides and ferritin."1.37Association of Crohn's disease, thiopurines, and primary epstein-barr virus infection with hemophagocytic lymphohistiocytosis. ( Biank, VF; Kugathasan, S; Margolis, D; Sheth, MK; Simpson, P; Stephens, M; Talano, J, 2011)
"We report on two brothers with hyperimmunoglobulinemia D (patient 1: serum immunoglobulin D [IgD] concentration initially 61 IU/ml, later on 340 IU/ml; patient 2: serum IgD concentration 144 IU/ml; normal <100 IU/ml, 97th centile) and periodic fever syndrome (HIDS)."1.35B cell cytopenia in two brothers with hyper-IgD and periodic fever syndrome. ( Ganschow, R; Sornsakrin, M; Wenner, K, 2009)
"Two patients presented cutaneous varicella complicated by pneumonia and esophagitis respectively, one patient had cutaneous herpes zoster and the other had fatal pneumonia possibly caused by the Herpesvirus."1.32[Opportunistic infections in patients with inflammatory bowel disease undergoing immunosuppressive therapy]. ( Bernal, I; Cabré, E; Domènech, E; García-Planella, E; Gassull, MA, 2003)
"Azathioprine is an effective alternative which can induce disease remission and may be less toxic."1.30The use of azathioprine in severe adult atopic eczema. ( Baldwin, P; Buckley, DA; Rogers, S, 1998)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-199014 (42.42)18.7374
1990's3 (9.09)18.2507
2000's4 (12.12)29.6817
2010's11 (33.33)24.3611
2020's1 (3.03)2.80

Authors

AuthorsStudies
Carol, HA1
Ochfeld, EN1
Ahmed, A1
Thomas, C1
Monteil-Ganiere, C1
Mirallié, S1
Hémont, C1
Dert, C1
Léger, A1
Joyau, C1
Caldari, D1
Audrain, M1
Monasterio, C1
Kreisel, W1
Hasselblatt, P1
Hadjadj, J1
Guffroy, A1
Delavaud, C1
Taieb, G1
Meyts, I1
Fresard, A1
Streichenberger, N1
L'Honneur, AS1
Rozenberg, F1
D'Aveni, M1
Aguilar, C1
Rosain, J1
Picard, C1
Mahlaoui, N1
Lecuit, M1
Hermine, O1
Lortholary, O1
Suarez, F1
Heerasing, NM1
Ng, JF1
Dowling, D1
González-Naranjo, LA1
Betancur, OM1
Alarcón, GS1
Ugarte-Gil, MF1
Jaramillo-Arroyave, D1
Wojdyla, D1
Pons-Estel, GJ1
Rondón-Herrera, F1
Vásquez-Duque, GM1
Quintana-López, G1
Da Silva, NA1
Tavares Brenol, JC1
Reyes-Llerena, G1
Pascual-Ramos, V1
Amigo, MC1
Massardo, L1
Alfaro-Lozano, J1
Segami, MI1
Esteva-Spinetti, MH1
Iglesias-Gamarra, A1
Pons-Estel, BA1
Vögelin, M1
Biedermann, L1
Frei, P1
Vavricka, SR1
Scharl, S1
Zeitz, J1
Sulz, MC1
Fried, M1
Rogler, G1
Scharl, M1
Sornsakrin, M1
Wenner, K1
Ganschow, R1
Nguyen, TM1
Le Gall, C1
Lachaux, A1
Boulieu, R1
Schmidt, S2
Al Rifai, A1
Prasad, N1
Shuttleworth, E1
McBurney, H1
Pushpakom, S1
Robinson, A1
Newman, W1
Campbell, S1
Gómez-Martín, D1
Díaz-Zamudio, M1
Vanoye, G1
Crispín, JC1
Alcocer-Varela, J1
Biank, VF1
Sheth, MK1
Talano, J1
Margolis, D1
Simpson, P1
Kugathasan, S1
Stephens, M1
Fernández, O1
Guerrero, M1
Mayorga, C1
Muñoz, L1
Leán, A1
Luque, G1
Hervás, M1
Fernández, V1
Capdevila, A1
de Ramón, E1
Bernal, I1
Domènech, E1
García-Planella, E1
Cabré, E1
Gassull, MA1
WHEELER, JR1
WHITE, WF1
CALNE, RY1
Date, A1
Chandy, M1
Pulimood, BM1
Skakal'skaia, LM1
Vandercam, B1
Lachapelle, JM1
Janssens, P1
Tennstedt, D1
Lambert, M1
Padberg, F1
Buckley, DA1
Baldwin, P1
Rogers, S1
Friedman, EA1
Shilov, EM1
Tareeva, IE1
Gordovskaia, NB1
Smolin, MR1
Rickman, W1
Hasbargen, J1
Mansurov, KhKh1
Asfandiiarova, NS1
Nikolaeva, OS1
Mansurova, FKh1
Rasunova, TKh1
Ring, J1
Seifert, J1
Lob, G1
Coulin, K1
Angstwurm, H1
Frick, E1
Brass, B1
Mertin, J1
Backmund, H1
Brendel, W1
Coté, CJ1
Meuwissen, HJ1
Pickering, RJ1
Souhami, RL1
Smith, J1
Bradfield, JW1
Glen, AC1
Bell, PR1
Briggs, JD1
Paton, AM1
Calman, KC1
Linton, AL1
Chanana, AD1
Cronkite, EP1
Joel, DD1
Schiffer, LM1
Sokolowski, J1
Olszewski, W1
Hauschild, G1
Schöne, D1
Wässer, S1
Winter, JW1
Gaffney, D1
Shapiro, D1
Spooner, RJ1
Marinaki, AM1
Sanderson, JD1
Mills, PR1

Reviews

1 review available for azathioprine and Lymphopenia

ArticleYear
[Oral cladribine for relapsing-remitting multiple sclerosis: another purine analogue or a genuine therapeutic innovation?].
    Der Nervenarzt, 2010, Volume: 81, Issue:10

    Topics: Administration, Oral; Adverse Drug Reaction Reporting Systems; Animals; Azathioprine; Cladribine; Cl

2010

Trials

1 trial available for azathioprine and Lymphopenia

ArticleYear
Intensive immunosuppression in the treatment of multiple sclerosis.
    Lancet (London, England), 1974, Nov-09, Volume: 2, Issue:7889

    Topics: Adult; Animals; Antilymphocyte Serum; Azathioprine; Cells, Cultured; Drainage; Drug Therapy, Combina

1974

Other Studies

31 other studies available for azathioprine and Lymphopenia

ArticleYear
In-utero exposure to immunosuppressive medications resulting in abnormal newborn screening for severe combined immunodeficiency: a case series on natural history and management.
    Immunologic research, 2022, Volume: 70, Issue:5

    Topics: Actins; Azathioprine; Female; Fingolimod Hydrochloride; Humans; Hydroxychloroquine; Infant; Infant,

2022
A Severe Neonatal Lymphopenia Associated With Administration of Azathioprine to the Mother in a Context of Crohn's Disease.
    Journal of Crohn's & colitis, 2018, Jan-24, Volume: 12, Issue:2

    Topics: Azathioprine; Crohn Disease; Female; Homozygote; Humans; Immunosuppressive Agents; Infant, Newborn;

2018
[Severe lymphopenia in a patient with Crohn's disease].
    Der Internist, 2018, Volume: 59, Issue:8

    Topics: Adalimumab; Adrenal Cortex Hormones; Adult; Anti-Inflammatory Agents; Azathioprine; Crohn Disease; F

2018
Progressive Multifocal Leukoencephalopathy in Primary Immunodeficiencies.
    Journal of clinical immunology, 2019, Volume: 39, Issue:1

    Topics: Adolescent; Adult; Azathioprine; B-Lymphocytes; Female; Humans; Immunologic Deficiency Syndromes; Im

2019
Does lymphopenia or macrocytosis reflect 6-thioguanine levels in patients with inflammatory bowel disease treated with azathioprine or 6-mercaptopurine?
    Internal medicine journal, 2016, Volume: 46, Issue:4

    Topics: Adult; Azathioprine; Biomarkers; Erythrocyte Indices; Female; Humans; Immunosuppressive Agents; Infl

2016
Features associated with hematologic abnormalities and their impact in patients with systemic lupus erythematosus: Data from a multiethnic Latin American cohort.
    Seminars in arthritis and rheumatism, 2016, Volume: 45, Issue:6

    Topics: Adolescent; Adult; Age Factors; Anemia, Hemolytic; Antibodies, Antinuclear; Antibodies, Antiphosphol

2016
The Impact of Azathioprine-Associated Lymphopenia on the Onset of Opportunistic Infections in Patients with Inflammatory Bowel Disease.
    PloS one, 2016, Volume: 11, Issue:5

    Topics: Adolescent; Adult; Azathioprine; Case-Control Studies; Child; Female; Humans; Immunosuppressive Agen

2016
B cell cytopenia in two brothers with hyper-IgD and periodic fever syndrome.
    European journal of pediatrics, 2009, Volume: 168, Issue:7

    Topics: Agammaglobulinemia; Azathioprine; B-Lymphocytes; Child; Fever; Glucocorticoids; Heterozygote; Humans

2009
High thiopurine metabolite concentrations associated with lymphopenia in inflammatory bowel disease (IBD) pediatric patients receiving aminosalicylates combined with azathioprine.
    International journal of clinical pharmacology and therapeutics, 2010, Volume: 48, Issue:4

    Topics: Adolescent; Aminosalicylic Acids; Azathioprine; Biotransformation; Child; Child, Preschool; Drug The

2010
Natural history of azathioprine-associated lymphopenia in inflammatory bowel disease patients: a prospective observational study.
    European journal of gastroenterology & hepatology, 2011, Volume: 23, Issue:2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Azathioprine; Disease Progression; Female; Humans; Immun

2011
Quantitative and functional profiles of CD4+ lymphocyte subsets in systemic lupus erythematosus patients with lymphopenia.
    Clinical and experimental immunology, 2011, Volume: 164, Issue:1

    Topics: Adult; Antigens, CD; Antigens, Differentiation, T-Lymphocyte; Azathioprine; CD4-Positive T-Lymphocyt

2011
Association of Crohn's disease, thiopurines, and primary epstein-barr virus infection with hemophagocytic lymphohistiocytosis.
    The Journal of pediatrics, 2011, Volume: 159, Issue:5

    Topics: Adolescent; Anemia; Azathioprine; Crohn Disease; Epstein-Barr Virus Infections; Ferritins; Fever; Hu

2011
Combination therapy with interferon beta-1b and azathioprine in secondary progressive multiple sclerosis. A two-year pilot study.
    Journal of neurology, 2002, Volume: 249, Issue:8

    Topics: Adjuvants, Immunologic; Adult; Azathioprine; Disease Progression; Drug Therapy, Combination; Female;

2002
[Opportunistic infections in patients with inflammatory bowel disease undergoing immunosuppressive therapy].
    Gastroenterologia y hepatologia, 2003, Volume: 26, Issue:1

    Topics: Acyclovir; Adult; Aged; Antiviral Agents; Azathioprine; Chickenpox; Crohn Disease; Disease Susceptib

2003
SELECTIVE LYMPHOPENIA BY USE OF INTRALYMPHATIC 198-AU AND SPLENECTOMY. IMMUNOSUPPRESSIVE ACTION ON REJECTION OF CANINE RENAL HOMOGRAFTS.
    British medical journal, 1965, Aug-07, Volume: 2, Issue:5457

    Topics: Allografts; Animals; Azathioprine; Dogs; Gold Colloid; Gold Colloid, Radioactive; Histology; Immunos

1965
Filarial chyluria with opportunistic infections.
    Transactions of the Royal Society of Tropical Medicine and Hygiene, 1983, Volume: 77, Issue:1

    Topics: Azathioprine; Candidiasis; Chyle; Cryptococcosis; Filariasis; Hepatitis, Chronic; Humans; Lymphopeni

1983
[Immunomodulating treatment of immunologic disorders in chronic pulmonary heart disease].
    Vrachebnoe delo, 1980, Issue:5

    Topics: Adjuvants, Immunologic; Adolescent; Adult; Aged; Azathioprine; Chronic Disease; Female; Humans; Hype

1980
Kaposi's sarcoma during immunosuppressive therapy for atopic dermatitis.
    Dermatology (Basel, Switzerland), 1997, Volume: 194, Issue:2

    Topics: Administration, Topical; Aged; Anti-Inflammatory Agents; Azathioprine; Betamethasone Valerate; CD4-P

1997
Late onset immunodeficiency in a patient with recurrent thymic carcinoma and myasthenia gravis.
    Journal of the neurological sciences, 1998, May-07, Volume: 157, Issue:2

    Topics: Adult; Age Factors; Azathioprine; Carcinoma; CD4-Positive T-Lymphocytes; Female; Humans; Immunologic

1998
The use of azathioprine in severe adult atopic eczema.
    Journal of the European Academy of Dermatology and Venereology : JEADV, 1998, Volume: 11, Issue:2

    Topics: Adult; Antimetabolites; Azathioprine; Clinical Trials as Topic; Dermatitis, Atopic; Drug Evaluation;

1998
Corticosteroids in immunosuppression: partial fulfillment of a promise.
    Transplantation proceedings, 1975, Volume: 7, Issue:1

    Topics: Antibody Formation; Azathioprine; Cell Membrane; Cyclophosphamide; Glucocorticoids; Graft Rejection;

1975
[Effect of prednisolone and azathioprine on T- and B-lymphocyte number in peripheral blood of patients with glomerulonephritis and systemic lupus erythematosus].
    Terapevticheskii arkhiv, 1978, Volume: 50, Issue:6

    Topics: Adolescent; Adult; Azathioprine; B-Lymphocytes; Glomerulonephritis; Humans; Leukocyte Count; Lupus E

1978
Hypogammaglobulinemia in a renal transplant recipient with antiglomerular basement membrane disease.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1988, Volume: 11, Issue:3

    Topics: Adult; Agammaglobulinemia; Anti-Glomerular Basement Membrane Disease; Azathioprine; Basement Membran

1988
[Immunocorrective therapy of patients with chronic active liver diseases of a viral nature].
    Terapevticheskii arkhiv, 1987, Volume: 59, Issue:2

    Topics: Adjuvants, Immunologic; Adolescent; Adult; Azathioprine; Female; Hepatitis B; Hepatitis, Chronic; Hu

1987
Effects on the neonate of prednisone and azathioprine administered to the mother during pregnancy.
    The Journal of pediatrics, 1974, Volume: 85, Issue:3

    Topics: Azathioprine; Cytomegalovirus; Female; Glomerulonephritis; Humans; Immunoglobulin A; Immunoglobulin

1974
The effect of uraemia on organ graft survival in the rat.
    British journal of experimental pathology, 1973, Volume: 54, Issue:2

    Topics: Adrenal Gland Diseases; Adrenal Glands; Animals; Azathioprine; Disease Models, Animal; Graft Rejecti

1973
Lymphocyte monitoring by blood lymphocyte counts and RNA-DNA determination in patients with a renal allograft.
    Transplantation, 1971, Volume: 12, Issue:6

    Topics: Adult; Azathioprine; DNA; Female; Graft Rejection; Humans; Immunosuppression Therapy; Kidney Transpl

1971
Skin allograft survival in lymphocyte-depleted calves.
    Transplantation proceedings, 1969, Volume: 1, Issue:1

    Topics: Animals; Azathioprine; Cattle; Graft Rejection; Immunosuppression Therapy; Lymphocytes; Lymphopenia;

1969
[Biochemical and histological changes resulting from the administration of an immunosuppressive agent, Imuran azathioprine].
    Polski przeglad chirurgiczny, 1970, Volume: 42, Issue:1

    Topics: Animals; Azathioprine; Body Weight; Dogs; Liver; Lymph Nodes; Lymphopenia; Serum Albumin

1970
[Immunosuppressive therapy of glomerulotubular lesions in childhood].
    Zeitschrift fur Urologie und Nephrologie, 1970, Volume: 63, Issue:5

    Topics: Acute Disease; Azathioprine; Blood Cell Count; Blood Proteins; Blood Sedimentation; Child; Chronic D

1970
Assessment of thiopurine methyltransferase enzyme activity is superior to genotype in predicting myelosuppression following azathioprine therapy in patients with inflammatory bowel disease.
    Alimentary pharmacology & therapeutics, 2007, May-01, Volume: 25, Issue:9

    Topics: Clinical Enzyme Tests; Cost-Benefit Analysis; Female; Gastrointestinal Agents; Genetic Techniques; G

2007