Effects of L-asparginase administration on anticoagulant proteins and platelet function in patients with acute lymphoblastic leukemia

AuthorMohammad Faranoshen
AuthorMansoureh Haghighien
AuthorReza HajiHoseinien
AuthorParvaneh Vosoghen
AuthorVahid FalahZadeganen
AuthorAzim MehAvaren
AuthorAmir Abbas HedayatiAslen
AuthorAtiye Aeitehen
AuthorMahin Behzadien
AuthorRaheb Ghorbanien
OrcidRaheb Ghorbani [0000-0002-5726-087X]en
Issued Date2011-03-31en
Abstract    Introduction: Acute lymphoblastic leukemia is one the most common malignancies in children and adolescents. L-asparginase (L-ASP) is one of the leading medications in treatment of ALL. L.ASP interferes with the synthesis of some coagulation proteins and therefore causing disturbance in normal coagulation. In this study, the effects of L-ASP on anticoagulant proteins (protein C, protein S, and antithrombin III) and platelet function were assessed.   Material and methods: This was a before-after study on 41 patients with ALL who refered to Mahak hospital (Tehran, Iran). Before and after the injection of L.ASP, a bleeding time test was performed based on Ivy method. Protein C and protein S performance was assessed by turbidometry and antithrombin III performance was evaluated by chromogenic method.   Results: 48.8% of patients were female. Mean (±SD) of age was 4.0±7.2. A significant reduction in the mean amount of protein C, antithrombin III and bleeding time was recorded. However, the reduction in protein S was not significant. No patient showed the symptoms of thrombosis.   Conclusion: The results of this study showed that L. ASP drug reduced coagulation proteins (except the protein S). This decrease along with other concomitant genetic factors can lead to thrombosis in some patients with ALL during induction therapy.en
DOIhttps://doi.org/en
KeywordProtein C, Protein S, Antithrombin III, L-Asparginase, Bleeding time, Acute lymphoblastic Leukemiaen
Keywordپروتئین C، پروتئین S، آنتی‌ترومبین III، ال‌آسپارژیناز، زمان خونروی، لوسمی لنفوبلاستیک حادen
PublisherBrieflandsen
TitleEffects of L-asparginase administration on anticoagulant proteins and platelet function in patients with acute lymphoblastic leukemiaen
TypeResearch Articleen

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