Asparaginase Escherichia coli

Identification

Summary

Asparaginase Escherichia coliis an asparaginase enzyme from E. coli used as part of treatment regimens for acute lymphoblastic leukemias.

Brand Names
Rylaze, Spectrila
Generic Name
Asparaginase Escherichia coli
DrugBank Accession Number
DB00023
Background

Asparaginase derived fromEscherichia 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 fromE. colihas clinically shown to exhibit antitumor actions in models of leukaemias1,2. L-asparaginase ofE. coliis 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 fromE. coliworks by depleting the levels of non-essential amino acid, asparagine, in lymphoblastic leukemic cells thus promoting apoptotic cell death3. For patients who develop hypersensitivity toE. coli-derived formulations of L-asparaginase, the use of PEGylated or non-PEGylatedAsparaginase Erwinia chrysanthemiis recommended3.

Type
Biotech
Groups
Approved, Investigational
Biologic Classification
Protein Based Therapies
Other protein based therapies
Protein Structure
Protein Chemical Formula
C1377H2208N382O442S17
Protein Average Weight
Not Available
Sequences
>sp|P00805|ASPG2_ECOLI L-asparaginase 2 OS=Escherichia coli (strain K12) GN=ansB PE=1 SV=2 MEFFKKTALAALVMGFSGAALALPNITILATGGTIAGGGDSATKSNYTVGKVGVENLVNA VPQLKDIANVKGEQVVNIGSQDMNDNVWLTLAKKINTDCDKTDGFVITHGTDTMEETAYF LDLTVKCDKPVVMVGAMRPSTSMSADGPFNLYNAVVTAADKASANRGVLVVMNDTVLDGR DVTKTNTTDVATFKSVNYGPLGYIHNGKIDYQRTPARKHTSDTPFDVSKLNELPKVGIVY NYANASDLPAKALVDAGYDGIVSAGVGNGNLYKSVFDTLATAAKTGTAVVRSSRVPTGAT TQDAEVDDAKYGFVASGTLNPQKARVLLQLALTQTKDPQQIQQIFNQY
Download FASTA Format
Synonyms
  • Asparaginase
  • Asparaginase (E. coli)
  • Colaspase
  • Escherichia coli L-asparaginase
  • L-asparaginase
  • L-asparagine amidohydrolase

Pharmacology

Indication

Indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of patients with acute lymphoblastic leukemia (ALL).5

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Associated Conditions
Contraindications & Blackbox Warnings
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Pharmacodynamics

In clinical trials of patients with previously untreated, standard-risk ALL, administration of asparaginase resulted in a decrease of plasma asparagine levels from average of 41 μM to less than 3 μMLabel. The native asparaginase in whom plasma enzyme activity before treatment was greater than 0.1 International Units/mLLabel. In this study, cerebrospinal fluid asparagine levels in patients treated with asparaginase decreased from 2.8 μM (pretreatment) to 1.0 μM and 0.3 μM at day 7 and day 28 of induction, respectivelyLabel. Native E. coli asparaginase results in asparagine depletion in 14 to 23 days following administration3.

Mechanism of action

天冬酰胺是一种非必需氨基酸,主要tains DNA, RNA and protein synthesis and promotes cell growth. While healthy and normal cells are capable of obtaining asparagine via dietary intake or synthesizing the asparagine from aspartate via asparagine synthetase activity, lymphoblastic leukemic cells lack the asparagine synthetase enzyme and cannot produce asparaginede novo3. Thus, leukemic cells rely on exogenous source of asparagine for protein synthesis and cell survival3. L-asparagine from E. coli serves to deplete plasma levels of asparagine in leukemic cells by converting L-asparagine to L-aspartic acid and ammonia3, leading to reduced reduced DNA, RNA and protein synthesis; inhibition of cell growth; and ultimately the activation of apoptotic cell-death mechanisms3. Normal cells, however, are able to synthesize asparagine and thus are affected less by the rapid depletion produced by treatment with the enzyme asparaginaseLabel.

Target Actions Organism
AL-asparagine
other/unknown
Humans
Absorption

In a study in patients with metastatic cancer and leukemia, daily intravenous administration of L-asparaginase derived fromE. coliresulted in a cumulative increase in plasma levels. Following intramuscular injection in patients with metastatic cancer and leukemia, peak plasma levels of asparaginase was achieved 14 to 24 hours post-dosingLabel.

Peak asparaginase activity of nativeE. coliasparaginase can be observed in 24 to 48 hours following administration3.

的体积分布

Apparent volume of distribution was slightly greater than the plasma volume. Asparaginase levels in cerebrospinal fluid were less than 1% of concurrent plasma levels3.

Protein binding

Not Available

Metabolism
Not Available
Route of elimination

Not Available

Half-life

Plasma half life of L-asparagine derived fromE. colifollowing intravenous injection was 8-30 hrsLabel. Plasma half-life was 34 to 49 hours after intramuscular injectionLabel. Half-life (mean ± SD) of nativeE. coliasparaginase is approximately 1.28 ± 0.35 days3.

Clearance

Not Available

Adverse Effects
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Toxicity

No studies assessing the mutagenic or carcinogenic potential ofE. coliL-asparagine have been conducted. In the Ames assay, no mutagenic effect was demonstrated when tested against Salmonella typhimurium strainsLabel. No studies have been performed on impairment of fertilityLabel. Following a single, intravenous injection of 12,500 to 50,000 International Units L-asparagine/kg in rabbits, edema and necrosis of pancreatic islets were observed. The clinical relevance of this finding is unclear as it does not indicate pancreatitisLabel.

Pathways
Not Available
Pharmacogenomic Effects/ADRsBrowse all" title="" id="snp-actions-info" class="drug-info-popup" href="javascript:void(0);">
Not Available

Interactions

Drug InteractionsLearn More" title="" id="structured-interactions-info" class="drug-info-popup" href="javascript:void(0);">
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction
Allantoin 尿囊素可以分辨的治疗效果ased when used in combination with Asparaginase Escherichia coli.
Ambroxol The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Ambroxol.
Articaine The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Articaine.
Benzocaine The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Benzocaine.
Benzyl alcohol The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Benzyl alcohol.
Bupivacaine The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Bupivacaine.
Butacaine The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Butacaine.
Butamben The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Butamben.
Capsaicin The risk or severity of methemoglobinemia can be increased when Asparaginase Escherichia coli is combined with Capsaicin.
Carbamazepine The therapeutic efficacy of Carbamazepine can be increased when used in combination with Asparaginase Escherichia coli.
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Food Interactions
No interactions found.

Products

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Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image
Elspar Injection, powder, lyophilized, for solution 10000 [iU]/1 Intramuscular; Intravenous Lundbeck Inc. 1978-01-10 2013-07-18 US flag
Kidrolase Powder, for solution 10000 unit / vial Intramuscular; Intravenous Jazz Pharmaceuticals France Sas 1974-12-31 2021-07-07 Canada flag
Rylaze Injection 20 mg/1mL Intramuscular Jazz Pharmaceuticals, Inc. 2021-06-30 Not applicable US flag
Spectrila Injection, powder, for solution 10000 U Intravenous Medac Gesellschaft Fuer Klinische Spezialpraeparate Mb H 2016-09-08 Not applicable EU flag
Spectrila Injection, powder, for solution 10000 U Intravenous Medac Gesellschaft Fuer Klinische Spezialpraeparate Mb H 2016-09-08 Not applicable EU flag

Categories

ATC Codes
L01XX02 — Asparaginase
Drug Categories
Chemical TaxonomyProvided byClassyfire
Description
Not Available
Kingdom
Organic Compounds
Super Class
Organic Acids
Class
Carboxylic Acids and Derivatives
Sub Class
Amino Acids, Peptides, and Analogues
Direct Parent
Peptides
Alternative Parents
Not Available
Substituents
Not Available
Molecular Framework
Not Available
External Descriptors
Not Available
Affected organisms
  • Humans and other mammals

Chemical Identifiers

UNII
G4FQ3CKY5R
CAS number
9015-68-3

References

Synthesis Reference

Masao Nambu, "Process for producing immobilized L-asparaginase preparations for the therapy of leukemia." U.S. Patent US4617271, issued January, 1977.

US4617271
General References
  1. Roberts J, Prager MD, Bachynsky N: The antitumor activity of Escherichia coli L-asparaginase. Cancer Res. 1966 Oct;26(10):2213-7. [Article]
  2. Boyse EA, Old LJ, Campbell HA, Mashburn LT: Suppression of murine leukemias by L-asparaginase. Incidence of sensitivity among leukemias of various types: comparative inhibitory activities of guinea pig serum L-asparaginase and Escherichia coli L-asparaginase. J Exp Med. 1967 Jan 1;125(1):17-31. [Article]
  3. Asselin B, Rizzari C: Asparaginase pharmacokinetics and implications of therapeutic drug monitoring. Leuk Lymphoma. 2015;56(8):2273-80. doi: 10.3109/10428194.2014.1003056. Epub 2015 Mar 11. [Article]
  4. UniProtKB - V6FYV8 (V6FYV8_ECOLX): E. coli L-asparaginase, type II FASTA sequence [Link]
  5. FDA Approved Drug Products: Elspar (asparaginase) for intravenous or intramuscular injection [Link]
UniProt
P37595
Genbank
U00096
PubChem Substance
46507633
RxNav
1156
ChEMBL
CHEMBL2108989
PharmGKB
PA448492
RxList
RxList Drug Page
Drugs.com
Drugs.com Drug Page
Wikipedia
Asparaginase
FDA label
Download (176 KB)

Clinical Trials

Clinical TrialsLearn More" title="" id="clinical-trials-info" class="drug-info-popup" href="javascript:void(0);">
Phase Status Purpose Conditions Count
4 Completed Treatment Acute Lymphobkastic Leukemia 1
4 Completed Treatment Acute Lymphoblastic Leukaemias (ALL) 5
4 Completed Treatment 勒ukemia, Lymphocytic, Acute, Adult 5
4 Completed Treatment Lymphoblastic Lymphoma 1
4 Unknown Status Treatment Acute Lymphoblastic Leukemia (ALL) 1
4 Unknown Status Treatment Peripheral T-Cell Lymphoma (PTCL) 1
3 Active Not Recruiting Treatment Acute Lymphoblastic Leukaemias (ALL)/Acute Undifferentiated Leukemia (AUL)/T-cell Childhood Acute Lymphoblastic Leukemia 1
3 Active Not Recruiting Treatment Acute Lymphoblastic Leukaemias (ALL)/Adult B Lymphoblastic Lymphoma/Ann Arbor Stage I B Lymphoblastic Lymphoma/Ann Arbor Stage II B Lymphoblastic Lymphoma/B-cell Childhood Acute Lymphoblastic Leukemia/Childhood B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1/Childhood B Lymphoblastic Lymphoma/Down Syndrome (DS)/Hypodiploid B Acute Lymphoblastic Leukemia/Philadelphia Chromosome Positive (Ph+) 1
3 Active Not Recruiting Treatment Acute Lymphoblastic Leukaemias (ALL)/B Acute Lymphoblastic Leukemia, Philadelphia Chromosome Negative 1
3 Active Not Recruiting Treatment Acute Myeloid Leukemia/Down Syndrome (DS)/Myelodysplastic Syndrome/Myeloid Leukemia Associated With Down Syndrome/Myeloproliferative Neoplasms (MPNs) 1

Pharmacoeconomics

Manufacturers
Not Available
Packagers
  • Lundbeck Inc.
  • Merck & Co.
  • Prescript Pharmaceuticals
Dosage Forms
Form Route Strength
Injection, powder, lyophilized, for solution Intramuscular; Intravenous 10000 [iU]/1
Injection, powder, for solution Parenteral
Powder, for solution Intramuscular; Intravenous 10000 unit / vial
Injection, powder, lyophilized, for solution Intramuscular; Intrathecal; Intravenous 10000 IU
Injection, powder, for solution
Injection, powder, lyophilized, for solution Intravenous 10000 iu
Injection, powder, for solution Intravenous 10000 iu
Powder 10000 iu/1vial
Injection Intramuscular 20 mg/1mL
Injection, powder, for solution Intravenous 10000 U
Prices
Unit description Cost Unit
Elspar 10000 unit vial 74.6USD vial
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patents
Not Available

Properties

State
Liquid
Experimental Properties
Property Value Source
hydrophobicity 0.059 Not Available
isoelectric point 4.67 Not Available

Targets

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Kind
Small molecule
Organism
Humans
Pharmacological action
Yes
Actions
Other/unknown
References
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
  2. C im P,犯罪,迈耶:药物,他们的目标and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
  3. Wetzler M, Sanford BL, Kurtzberg J, DeOliveira D, Frankel SR, Powell BL, Kolitz JE, Bloomfield CD, Larson RA: Effective asparagine depletion with pegylated asparaginase results in improved outcomes in adult acute lymphoblastic leukemia: Cancer and Leukemia Group B Study 9511. Blood. 2007 May 15;109(10):4164-7. Epub 2007 Jan 30. [Article]
  4. Wenner KA, Vieira Pinheiro JP, Escherich G, Wessalowski R, Jorch N, Wolff J, Stehn M, Kohlschutter A, Boos J, Janka-Schaub GE: Asparagine concentration in plasma after 2,500 IU/m(2) PEG-asparaginase i.v. in children with acute lymphoblastic leukemia. Klin Padiatr. 2005 Nov-Dec;217(6):321-6. [Article]
  5. Appel IM, Pinheiro JP, den Boer ML, Lanvers C, Reniers NC, Boos J, Pieters R: Lack of asparagine depletion in the cerebrospinal fluid after one intravenous dose of PEG-asparaginase: a window study at initial diagnosis of childhood ALL. Leukemia. 2003 Nov;17(11):2254-6. [Article]

Carriers

Kind
Protein
Organism
Humans
Pharmacological action
No
Actions
Inhibitor
General Function
Serine-type endopeptidase inhibitor activity
Specific Function
Major thyroid hormone transport protein in serum.
Gene Name
SERPINA7
Uniprot ID
P05543
Uniprot Name
Thyroxine-binding globulin
Molecular Weight
46324.12 Da

Drug created at June 13, 2005 13:24 / Updated at April 30, 2023 03:04