L-asparaginase: New about Well-Known Drug

The history of asparaginase clinical use is inextricably linked to the improvement of treatment programs for acute lymphoblastic leukaemia (ALL). Asparaginase, obtained from E. coli, has become the crucial part in the protocols for the treatment of ALL in children and adults since the 1960s-1970s du...

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Main Authors: Yuliya S. Korkina, Timur T. Valiev
Format: Article
Language:Russian
Published: Union of pediatricians of Russia 2021-07-01
Series:Педиатрическая фармакология
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Online Access:https://www.pedpharma.ru/jour/article/view/2017
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author Yuliya S. Korkina
Timur T. Valiev
author_facet Yuliya S. Korkina
Timur T. Valiev
author_sort Yuliya S. Korkina
collection DOAJ
description The history of asparaginase clinical use is inextricably linked to the improvement of treatment programs for acute lymphoblastic leukaemia (ALL). Asparaginase, obtained from E. coli, has become the crucial part in the protocols for the treatment of ALL in children and adults since the 1960s-1970s due to its antitumor effect on lymphoid leukemia cells. Despite the evolution of therapeutic approaches in ALL management, changes in used chemotherapeutic agents, their administration regimens and doses, the asparaginase remains one of the leading therapeutic agents in ALL patients. With time ideas about the asparaginase mechanisms have expanded, new data have been accumulated on adverse effects (allergic reactions, thrombotic complications, pancreatitis, hepatic dysfunction, etc.). The asparaginase obtained from Erwinia chrysanthemi and PEGylated forms of the drug were used to reduce the frequency of any of such adverse effects. This literature review provides current concepts on the mechanism of L-asparaginase dosage forms action, describes side effects associated with the use of this medication. We also present our own clinical case of L-asparaginase (obtained from Erwinia chrysanthemi) administration in ALL patient with allergic reaction to PEG-L-asparaginase.
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spelling doaj-art-01b181982cc04883ac8d7fb3b4eee70b2025-08-20T03:19:41ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892021-07-0118322723210.15690/pf.v18i3.22821807L-asparaginase: New about Well-Known DrugYuliya S. Korkina0Timur T. Valiev1Russian Medical Academy of Continuing Professional EducationNational Medical Research Center of Oncology named after N.N. BlokhinThe history of asparaginase clinical use is inextricably linked to the improvement of treatment programs for acute lymphoblastic leukaemia (ALL). Asparaginase, obtained from E. coli, has become the crucial part in the protocols for the treatment of ALL in children and adults since the 1960s-1970s due to its antitumor effect on lymphoid leukemia cells. Despite the evolution of therapeutic approaches in ALL management, changes in used chemotherapeutic agents, their administration regimens and doses, the asparaginase remains one of the leading therapeutic agents in ALL patients. With time ideas about the asparaginase mechanisms have expanded, new data have been accumulated on adverse effects (allergic reactions, thrombotic complications, pancreatitis, hepatic dysfunction, etc.). The asparaginase obtained from Erwinia chrysanthemi and PEGylated forms of the drug were used to reduce the frequency of any of such adverse effects. This literature review provides current concepts on the mechanism of L-asparaginase dosage forms action, describes side effects associated with the use of this medication. We also present our own clinical case of L-asparaginase (obtained from Erwinia chrysanthemi) administration in ALL patient with allergic reaction to PEG-L-asparaginase.https://www.pedpharma.ru/jour/article/view/2017asparaginasepeg-asparaginaseerwinaseacute lymphoblastic leukaemiatreatment
spellingShingle Yuliya S. Korkina
Timur T. Valiev
L-asparaginase: New about Well-Known Drug
Педиатрическая фармакология
asparaginase
peg-asparaginase
erwinase
acute lymphoblastic leukaemia
treatment
title L-asparaginase: New about Well-Known Drug
title_full L-asparaginase: New about Well-Known Drug
title_fullStr L-asparaginase: New about Well-Known Drug
title_full_unstemmed L-asparaginase: New about Well-Known Drug
title_short L-asparaginase: New about Well-Known Drug
title_sort l asparaginase new about well known drug
topic asparaginase
peg-asparaginase
erwinase
acute lymphoblastic leukaemia
treatment
url https://www.pedpharma.ru/jour/article/view/2017
work_keys_str_mv AT yuliyaskorkina lasparaginasenewaboutwellknowndrug
AT timurtvaliev lasparaginasenewaboutwellknowndrug