Asparaginase derived from Escherichia coli (L-asparagine amidohydrolase, EC 3.5.1.1) is an enzyme responsible for the metabolism of L-asparagine, by catalyzing L-asparagine into L-aspartic acid and ammonia. It also facilitates the production of oxaloacetate which is needed for general cellular metabolism. Asparaginase from E. coli has clinically shown to exhibit antitumor actions in models of leukaemias . L-asparaginase of E. coli is marketed under several different trade names, including Elspar, for the treatment of acute lymphoblastic leukemia (ALL) as part of a multi-agent chemotherapeutic regimen. It is available as intramuscular or intravenous injections. Therapeutic L-asparaginase from E. coli works by depleting the levels of non-essential amino acid, asparagine, in lymphoblastic leukemic cells thus promoting apoptotic cell death . For patients who develop hypersensitivity to E. coli-derived formulations of L-asparaginase, the use of PEGylated or non-PEGylated Asparaginase Erwinia chrysanthemi is recommended .
Indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of patients with acute lymphoblastic leukemia (ALL).
University Hospital, Medical Dept. II, Frankfurt, Germany
St. Jude Children's Research Hospital, Memphis, Tennessee, United States
Jersey Shore University Medical Center, Neptune, New Jersey, United States
Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Ochsner Clinic, New Orleans, Louisiana, United States
McMaster University, Hamilton, Ontario, Canada
Maine Medical Center, Lewiston, Maine, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Manitoba Blood & Marrow Transplant Program CancerCare Manitoba, Winnipeg, Manitoba, Canada
Department of Hematology, Nagoya University Graduate School of Medicine, Nagoya, Japan
Department of Hematology, Nagoya University Graduate School of Medicine, Nagoya, Japan
Providence Saint Joseph Medical Center - Burbank, Burbank, California, United States
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center, Spartanburg, South Carolina, United States
Minor and James Medical, PLLC, Seattle, Washington, United States
Indiana University Medical Center, Indianapolis, Indiana, United States
M D Anderson Cancer Center, Houston, Texas, United States
Seattle Children's Hospital, Seattle, Washington, United States
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