2013
DOI: 10.3109/10428194.2013.803224
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l-asparaginase: an effective agent in the treatment of acute lymphoblastic leukemia

Abstract: L-asparaginase (L-ASNase) is an enzyme used most effectively in the treatment of acute lymphoblastic leukemia (ALL) for more than 30 years. It catalyzes the hydrolysis of amino acid l-asparagine to aspartic acid and ammonia, which leads to cell death. Clinical trials have been conducted using L-ASNase in combination with other drugs and radiotherapy, which have led to great success in the treatment of ALL. Treatments consist of induction therapy and central nervous system therapy. The achievement of complete r… Show more

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Cited by 44 publications
(28 citation statements)
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“…Furthermore, the enzymatic inhibition caused by metal ions and the presence of 10 cysteines in ScASNase1 (Fig. 3A) suggest that certain vicinal sulfhydryl groups are important for protein stabilization, a property described for other L-ASNases3233. It is noteworthy to cite that the incubation of EcASNase2 with human serum did not affect the activity, while ScASNase1 presented a significant augment of specific activity (Fig.…”
Section: Discussionmentioning
confidence: 78%
“…Furthermore, the enzymatic inhibition caused by metal ions and the presence of 10 cysteines in ScASNase1 (Fig. 3A) suggest that certain vicinal sulfhydryl groups are important for protein stabilization, a property described for other L-ASNases3233. It is noteworthy to cite that the incubation of EcASNase2 with human serum did not affect the activity, while ScASNase1 presented a significant augment of specific activity (Fig.…”
Section: Discussionmentioning
confidence: 78%
“…1 Nevertheless, ASNS has already been known as a resistant marker in acute lymphoblastic leukemia (ALL). 2 For curing certain ALL that lacks ASNS, L-asparaginase is a successful chemotherapy drug by removing L-asparagine outside leukemia cells to avoid exo-L-asparagine entering the cancer cell for further protein synthesis and cell survival. However, some resistant ALL cells begin to express ASNS because of gene mutation.…”
Section: Introductionmentioning
confidence: 99%
“…PEG-ASP preserves the enzymatic function of native L-ASP, but decreases the immunogenicity of the protein, thus potentially reducing the risk of hypersensitivity reactions. Another advantage of PEG-ASP is its prolonged half-life compared with native L-ASP; a single injection of PEG-ASP can be given instead of inconveniently administering multiple doses of native L-ASP (6,8). Comparative studies between L-ASP and PEG-ASP treatments in pediatric and adult ALL patients suggest that patients treated with PEG-ASP had faster clearance of tumor cells and more prolonged activity.…”
Section: Introductionmentioning
confidence: 99%