Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment

Currently no therapy of acute lymphoblastic leukemia is conceivable without L-asparaginase drugs, with its antileukemic effect by extracellular asparagine depletion, thus preventing its admission to leukemic cell. Besides high antitumor effect, L-asparaginase drugs have side and toxic effects, such...

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Main Author: T. T. Valiev
Format: Article
Language:Russian
Published: ABV-press 2023-09-01
Series:Онкогематология
Subjects:
Online Access:https://oncohematology.abvpress.ru/ongm/article/view/845
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author T. T. Valiev
author_facet T. T. Valiev
author_sort T. T. Valiev
collection DOAJ
description Currently no therapy of acute lymphoblastic leukemia is conceivable without L-asparaginase drugs, with its antileukemic effect by extracellular asparagine depletion, thus preventing its admission to leukemic cell. Besides high antitumor effect, L-asparaginase drugs have side and toxic effects, such as hypersensitivity reactions, thrombosis, pancreatitis / pancreatic necrosis, and hepatotoxicity. For L-asparaginase safety profile improvement a technology of pegylation was lay down and PEG-aspargase drug produced. This drug has less toxic effects and recommended as first-line therapy of acute lymphoblastic leukemia. Drug monitoring for assessment the effectiveness and toxicity of L-asparaginase is optimal. Such therapy individualization helps for L-asparaginase dose finding and decrease frequency and severity of side effects.
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series Онкогематология
spelling doaj-art-6d7a3634f8eb42feb2414159ff7c96e22025-08-20T03:35:33ZrusABV-pressОнкогематология1818-83462413-40232023-09-0118313413910.17650/1818-8346-2023-18-3-134-139706Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatmentT. T. Valiev0Research Institute of Pediatric Oncology and Hematology, N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Currently no therapy of acute lymphoblastic leukemia is conceivable without L-asparaginase drugs, with its antileukemic effect by extracellular asparagine depletion, thus preventing its admission to leukemic cell. Besides high antitumor effect, L-asparaginase drugs have side and toxic effects, such as hypersensitivity reactions, thrombosis, pancreatitis / pancreatic necrosis, and hepatotoxicity. For L-asparaginase safety profile improvement a technology of pegylation was lay down and PEG-aspargase drug produced. This drug has less toxic effects and recommended as first-line therapy of acute lymphoblastic leukemia. Drug monitoring for assessment the effectiveness and toxicity of L-asparaginase is optimal. Such therapy individualization helps for L-asparaginase dose finding and decrease frequency and severity of side effects.https://oncohematology.abvpress.ru/ongm/article/view/845l-asparaginasepeg-asparaginasetoxicityacute lymphoblastic leukemia
spellingShingle T. T. Valiev
Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
Онкогематология
l-asparaginase
peg-asparaginase
toxicity
acute lymphoblastic leukemia
title Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
title_full Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
title_fullStr Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
title_full_unstemmed Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
title_short Toxicity of L-asparaginase drugs in acute lymphoblastic leukemia treatment
title_sort toxicity of l asparaginase drugs in acute lymphoblastic leukemia treatment
topic l-asparaginase
peg-asparaginase
toxicity
acute lymphoblastic leukemia
url https://oncohematology.abvpress.ru/ongm/article/view/845
work_keys_str_mv AT ttvaliev toxicityoflasparaginasedrugsinacutelymphoblasticleukemiatreatment