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Published in: Cancer Chemotherapy and Pharmacology 6/2017

01-06-2017 | Short Communication

Pharmacodynamic effects in the cerebrospinal fluid of rats after intravenous administration of different asparaginase formulations

Authors: Andrea Ballerini, Federico Moro, Ilaria Fuso Nerini, Claudio Marcello Marzo, Angelo Di Clemente, Mariella Ferrari, Maurizio D’Incalci, Andrea Biondi, Antonella Colombini, Valentino Conter, Luca Porcu, Luigi Cervo, Carmelo Rizzari, Massimo Zucchetti

Published in: Cancer Chemotherapy and Pharmacology | Issue 6/2017

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Abstract

Purpose

Asparaginase (ASNase) is used to treat various hematological malignancies for its capacity to deplete asparagine (ASN) in serum and cerebrospinal fluid (CSF). Since the biological mechanisms underlying CSF asparagine depletion in humans are not yet fully elucidated, this study compared, for the first time, the pharmacological properties of three clinically used ASNase formulations in a rodent model.

Methods

Male Wistar rats were treated with E.coli-ASNase, PEG-ASNase, or ERW-ASNase at different doses. Serum and CSF amino-acid levels and ASNase activities were evaluated at 1 and 24 h after the intravenous administration of different ASNase doses.

Results

All the ASNase formulations showed higher activities in serum after 1 h than 24 h and completely deplete ASN. Mean ASNase activity in the CSF at 1 h was higher with ERW-ASNase compared to PEG-ASNase (36 ± 29 vs 8 ± 7 U/L, p < 0.037) and similar to E.coli-ASNase (21 ± 9 U/L, ns). ERW-ASNase and E.coli-ASNase at the highest doses were able to deplete ASN in the CSF after 1 h. This effect was transient and not evident at 24 h after treatment.

Conclusions

Together with the ASN depletion in serum and CSF, a never before demonstrated transient penetration of ASNases into the CSF, more evident for non-pegylated formulations, was detected when the ASNases were administered at high dose.
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Literature
1.
go back to reference Labrou NE, Papageorgiou AC, Avramis VI (2010) Structure-function relationships and clinical applications of l-asparaginases. Curr Med Chem 17:2183–2195CrossRefPubMed Labrou NE, Papageorgiou AC, Avramis VI (2010) Structure-function relationships and clinical applications of l-asparaginases. Curr Med Chem 17:2183–2195CrossRefPubMed
3.
go back to reference Pieters R, Hunger SP, Boos J, Rizzari C, Silverman L, Baruchel A, Goekbuget N, Schrappe M, Pui C-H (2011) l-asparaginase treatment in acute lymphoblastic leukemia: a focus on Erwinia asparaginase. Cancer 117:238–249. doi:10.1002/cncr.25489 CrossRefPubMed Pieters R, Hunger SP, Boos J, Rizzari C, Silverman L, Baruchel A, Goekbuget N, Schrappe M, Pui C-H (2011) l-asparaginase treatment in acute lymphoblastic leukemia: a focus on Erwinia asparaginase. Cancer 117:238–249. doi:10.​1002/​cncr.​25489 CrossRefPubMed
5.
go back to reference Riccardi R, Holcenberg JS, Glaubiger DL, Wood JH, Poplack DG (1981) l-asparaginase pharmacokinetics and asparagine levels in cerebrospinal fluid of rhesus monkeys and humans. Cancer Res 41:4554–4558PubMed Riccardi R, Holcenberg JS, Glaubiger DL, Wood JH, Poplack DG (1981) l-asparaginase pharmacokinetics and asparagine levels in cerebrospinal fluid of rhesus monkeys and humans. Cancer Res 41:4554–4558PubMed
6.
go back to reference Rizzari C, Zucchetti M, Conter V, Diomede L, Bruno A, Gavazzi L, Paganini M, Sparano P, Lo Nigro L, Aricò M, Milani M, D’Incalci M (2000) l-asparagine depletion and l-asparaginase activity in children with acute lymphoblastic leukemia receiving i.m. or i.v. Erwinia C. or E. coli l-asparaginase as first exposure. Ann Oncol Off J Eur Soc Med Oncol ESMO 11:189–193CrossRef Rizzari C, Zucchetti M, Conter V, Diomede L, Bruno A, Gavazzi L, Paganini M, Sparano P, Lo Nigro L, Aricò M, Milani M, D’Incalci M (2000) l-asparagine depletion and l-asparaginase activity in children with acute lymphoblastic leukemia receiving i.m. or i.v. Erwinia C. or E. coli l-asparaginase as first exposure. Ann Oncol Off J Eur Soc Med Oncol ESMO 11:189–193CrossRef
7.
go back to reference Rizzari C, Citterio M, Zucchetti M, Conter V, Chiesa R, Colombini A, Malguzzi S, Silvestri D, D’Incalci M (2006) A pharmacological study on pegylated asparaginase used in front-line treatment of children with acute lymphoblastic leukemia. Haematologica 91:24–31PubMed Rizzari C, Citterio M, Zucchetti M, Conter V, Chiesa R, Colombini A, Malguzzi S, Silvestri D, D’Incalci M (2006) A pharmacological study on pegylated asparaginase used in front-line treatment of children with acute lymphoblastic leukemia. Haematologica 91:24–31PubMed
8.
go back to reference Henriksen LT, Nersting J, Raja RA, Frandsen TL, Rosthøj S, Schrøder H, Albertsen BK, Nordic Society of Paediatric Haematology and Oncology (NOPHO) group (2014) Cerebrospinal fluid asparagine depletion during pegylated asparaginase therapy in children with acute lymphoblastic leukaemia. Br J Haematol 166:213–220. doi:10.1111/bjh.12865 CrossRefPubMed Henriksen LT, Nersting J, Raja RA, Frandsen TL, Rosthøj S, Schrøder H, Albertsen BK, Nordic Society of Paediatric Haematology and Oncology (NOPHO) group (2014) Cerebrospinal fluid asparagine depletion during pegylated asparaginase therapy in children with acute lymphoblastic leukaemia. Br J Haematol 166:213–220. doi:10.​1111/​bjh.​12865 CrossRefPubMed
9.
go back to reference Vieira Pinheiro JP, Wenner K, Escherich G, Lanvers-Kaminsky C, Würthwein G, Janka-Schaub G, Boos J (2006) Serum asparaginase activities and asparagine concentrations in the cerebrospinal fluid after a single infusion of 2,500 IU/m2 PEG asparaginase in children with ALL treated according to protocol COALL-06-97. Pediatr Blood Cancer 46:18–25. doi:10.1002/pbc.20406 CrossRefPubMed Vieira Pinheiro JP, Wenner K, Escherich G, Lanvers-Kaminsky C, Würthwein G, Janka-Schaub G, Boos J (2006) Serum asparaginase activities and asparagine concentrations in the cerebrospinal fluid after a single infusion of 2,500 IU/m2 PEG asparaginase in children with ALL treated according to protocol COALL-06-97. Pediatr Blood Cancer 46:18–25. doi:10.​1002/​pbc.​20406 CrossRefPubMed
10.
go back to reference Avramis VI, Sencer S, Periclou AP, Sather H, Bostrom BC, Cohen LJ, Ettinger AG, Ettinger LJ, Franklin J, Gaynon PS, Hilden JM, Lange B, Majlessipour F, Mathew P, Needle M, Neglia J, Reaman G, Holcenberg JS, Stork L (2002) A randomized comparison of native Escherichia coli asparaginase and polyethylene glycol conjugated asparaginase for treatment of children with newly diagnosed standard-risk acute lymphoblastic leukemia: a Children’s Cancer Group study. Blood 99:1986–1994CrossRefPubMed Avramis VI, Sencer S, Periclou AP, Sather H, Bostrom BC, Cohen LJ, Ettinger AG, Ettinger LJ, Franklin J, Gaynon PS, Hilden JM, Lange B, Majlessipour F, Mathew P, Needle M, Neglia J, Reaman G, Holcenberg JS, Stork L (2002) A randomized comparison of native Escherichia coli asparaginase and polyethylene glycol conjugated asparaginase for treatment of children with newly diagnosed standard-risk acute lymphoblastic leukemia: a Children’s Cancer Group study. Blood 99:1986–1994CrossRefPubMed
12.
go back to reference Huang YL, Säljö A, Suneson A, Hansson HA (1995) A new approach for multiple sampling of cisternal cerebrospinal fluid in rodents with minimal trauma and inflammation. J Neurosci Methods 63:13–22CrossRefPubMed Huang YL, Säljö A, Suneson A, Hansson HA (1995) A new approach for multiple sampling of cisternal cerebrospinal fluid in rodents with minimal trauma and inflammation. J Neurosci Methods 63:13–22CrossRefPubMed
13.
go back to reference Ceaglio N, Orozco G, Etcheverrigaray M, Mattio M, Kratje R, Perotti N, Oggero M (2013) High performance collection of cerebrospinal fluid in rats: evaluation of erythropoietin penetration after osmotic opening of the blood–brain barrier. J Neurosci Methods 219:70–75. doi:10.1016/j.jneumeth.2013.07.009 CrossRefPubMed Ceaglio N, Orozco G, Etcheverrigaray M, Mattio M, Kratje R, Perotti N, Oggero M (2013) High performance collection of cerebrospinal fluid in rats: evaluation of erythropoietin penetration after osmotic opening of the blood–brain barrier. J Neurosci Methods 219:70–75. doi:10.​1016/​j.​jneumeth.​2013.​07.​009 CrossRefPubMed
15.
go back to reference Reiber H, Felgenhauer K (1987) Protein transfer at the blood cerebrospinal fluid barrier and the quantitation of the humoral immune response within the central nervous system. Clin Chim Acta Int J Clin Chem 163:319–328CrossRef Reiber H, Felgenhauer K (1987) Protein transfer at the blood cerebrospinal fluid barrier and the quantitation of the humoral immune response within the central nervous system. Clin Chim Acta Int J Clin Chem 163:319–328CrossRef
Metadata
Title
Pharmacodynamic effects in the cerebrospinal fluid of rats after intravenous administration of different asparaginase formulations
Authors
Andrea Ballerini
Federico Moro
Ilaria Fuso Nerini
Claudio Marcello Marzo
Angelo Di Clemente
Mariella Ferrari
Maurizio D’Incalci
Andrea Biondi
Antonella Colombini
Valentino Conter
Luca Porcu
Luigi Cervo
Carmelo Rizzari
Massimo Zucchetti
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Cancer Chemotherapy and Pharmacology / Issue 6/2017
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-017-3307-8

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