Evidence map›Paper›PMID 32786406›Full record

ArticleBiochemistry2020

Improving the Treatment of Acute Lymphoblastic Leukemia.

Ashish Radadiya, Wen Zhu, Adriana Coricello, Stefano Alcaro, Nigel G J Richards

Open access · hybridAbstract read
In one paragraph

Article in Biochemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
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  13. Towards a dependable data set of structures for L-asparaginase research.Acta crystallographica. Section D, Structural biology · 2024
    Article
  14. Article
  15. Nanomedicines against Chagas disease: a critical review.Beilstein journal of nanotechnology · 2024
    Review
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  17. Review
  18. Article
  19. Haematologica · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Ashish RadadiyaSchool of Chemistry, Cardiff University, Park Place, Cardiff CF10 3AT, U.K.
Wen ZhuDepartment of Chemistry and California Institute for Quantitative Biosciences, University of California, Berkeley, California 94720, United States.ORCID 0000-0003-3190-0071
Adriana CoricelloSchool of Chemistry, Cardiff University, Park Place, Cardiff CF10 3AT, U.K.
Stefano AlcaroDipartimento di Scienze della Salute, Università "Magna Græcia" di Catanzaro, 88100 Catanzaro, Italy.
Nigel G J RichardsSchool of Chemistry, Cardiff University, Park Place, Cardiff CF10 3AT, U.K.ORCID 0000-0002-0375-0881
Magna Graecia University · ITCardiff University · GBFoundation for Applied Molecular Evolution · USQB3 · US

Funding

Biotechnology and Biological Sciences Research Council P/018017/1
6 · The paper itself

Abstract

l-Asparaginase (EC 3.5.1.1) was first used as a component of combination drug therapies to treat acute lymphoblastic leukemia (ALL), a cancer of the blood and bone marrow, almost 50 years ago. Administering this enzyme to reduce asparagine levels in the blood is a cornerstone of modern clinical protocols for ALL; indeed, this remains the only successful example of a therapy targeted against a specific metabolic weakness in any form of cancer. Three problems, however, constrain the clinical use of l-asparaginase. First, a type II bacterial variant of l-asparaginase is administered to patients, the majority of whom are children, which produces an immune response thereby limiting the time over which the enzyme can be tolerated. Second, l-asparaginase is subject to proteolytic degradation in the blood. Third, toxic side effects are observed, which may be correlated with the l-glutaminase activity of the enzyme. This Perspective will outline how asparagine depletion negatively impacts the growth of leukemic blasts, discuss the structure and mechanism of l-asparaginase, and briefly describe the clinical use of chemically modified forms of clinically useful l-asparaginases, such as Asparlas, which was recently given FDA approval for use in children (babies to young adults) as part of multidrug treatments for ALL. Finally, we review ongoing efforts to engineer l-asparaginase variants with improved therapeutic properties and briefly detail emerging, alternate strategies for the treatment of forms of ALL that are resistant to asparagine depletion.

Indexed as

AdolescentAsparaginaseAsparagineChildChild, PreschoolGlutaminaseHumansMedical OncologyModels, MolecularPolyethylene GlycolsPrecursor Cell Lymphoblastic Leukemia-LymphomaProtein ConformationQuality ImprovementYoung AdultAsparaginaseAsparaginecalaspargase pegolGlutaminasePolyethylene Glycols

Identifiers

PMID32786406
PMCPMC7497903
OpenAlexW3048741892

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.