The effect of L-asparaginase on lipid metabolism during induction chemotherapy of childhood lymphoblastic leukaemia.

Abstract:

:L-asparaginase is an effective antileukaemic drug and a potent inhibitor of hepatic protein synthesis. Its effect on lipid metabolism was studied in two cohorts of children with ALL, one of whom received L-asparaginase concomitantly with three other drugs (protocol BFM 79). In the second protocol (BFM 83) administration of L-asparaginase was arranged to follow the other three drugs in time sequence. The two major findings of this study were elevated serum levels of total cholesterol and a strong increase in serum triglycerides. The former change was due to an increase in alpha-cholesterol and could not be attributed to L-asparaginase because it was also found following protocol BFM 83 before the administration of the drug. Elevations of total triglycerides were due to high levels of exogenous chylomicron bound triglycerides and were limited in occurrence almost exclusively to the period of L-asparaginase monotherapy. Hypothyroidism was excluded as a possible pathogenetic mechanism. These changes in lipid metabolism induced by L-asparaginase during intensive remission induction chemotherapy are fully reversible.

journal_name

Eur J Pediatr

authors

Cremer P,Lakomek M,Beck W,Prindull G

doi

10.1007/BF00442614

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

64-7

issue

1

eissn

0340-6199

issn

1432-1076

journal_volume

147

pub_type

杂志文章
  • Respiratory and arousal responses to hypoxia in apnoeic infants reinvestigated.

    abstract::Respiratory and arousal responses to mild hypoxia (15% oxygen in nitrogen) were recorded in 18 healthy infants and 33 infants who had sustained severe sleep related apnoeic events (ALTE). Respiratory movements and transcutaneous gas pressures (tcPO2 and tcPCO2) were continuously monitored during the 10 min test. The c...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00441560

    authors: Milerad J,Hertzberg T,Wennergren G,Lagercrantz H

    更新日期:1989-04-01 00:00:00

  • The role of serotonin re-uptake inhibitors in preventing recurrent unexplained childhood syncope -- a preliminary report.

    abstract:UNLABELLED:To assess the efficacy of a serotonin re-uptake inhibitor, sertraline hydrochloride, in preventing recurrent neurocardiogenic syncope, we studied 15 patients (10 female; mean age 12.9 +/- 2 years) with positive head-upright tilt test and resistant to standard pharmacotherapy, atenolol or disopyramide. The pa...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310050704

    authors: Lenk M,Alehan D,Ozme S,Celiker A,Ozer S

    更新日期:1997-10-01 00:00:00

  • Bitter lupine beans ingestion in a child: a disregarded cause of acute anticholinergic toxicity.

    abstract:UNLABELLED:We describe the case of a 6-year-old girl brought to the emergency department for the sudden onset of anticholinergic syndrome after the ingestion of a few home-made partially debittered lupine beans. She complained of blurry vision, headache, photophobia and nausea. No specific treatment was needed, and the...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-013-2088-2

    authors: Daverio M,Cavicchiolo ME,Grotto P,Lonati D,Cananzi M,Da Dalt L

    更新日期:2014-12-01 00:00:00

  • Click-evoked oto-acoustic emission measurement in preterm infants.

    abstract:UNLABELLED:Click-evoked oto-acoustic emissions (CEOAE) are acoustic responses produced by the inner ear, reflecting functional auditory integrity. We studied both the success rate of the CEOAE method and the CEOAE presence in preterm infants during their stay at the Neonatal Intensive Care Unit (NICU), by analysis of t...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310050986

    authors: Brienesse P,Maertzdorf WJ,Anteunis LJ,Manni JJ,Blanco CE

    更新日期:1998-12-01 00:00:00

  • Phenylketonuria: treatment in adolescence and adult life.

    abstract::In our clinic the decision on whether to continue with dietary treatment of phenylketonuria or not is left to each adolescent and adult patient after the advantages and disadvantages, as discussed in this paper, of continuing diet have been presented to them. As a result 61 of 132 patients have stopped diet or decline...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/pl00014261

    authors: Brenton DP,Tarn AC,Cabrera-Abreu JC,Lilburn M

    更新日期:1996-07-01 00:00:00

  • Everything the pediatrician ever wanted to know about HLA but was afraid to ask.

    abstract::Following a description of the genetic aspects of the human histocompatibility antigens system HLA and its principle typing methods, this paper reviews the relationship between HLA antigens, transplantation immunology and certain diseases. In particular, the role of the lymphocyte-defined antigens of the HLA-D system ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF00441576

    authors: Passarge E,Valentine-Thon E

    更新日期:1980-03-01 00:00:00

  • SARS-CoV-2-associated multisystem inflammatory syndrome in children: clinical manifestations and the role of infliximab treatment.

    abstract::This study was conducted to assess the clinical spectrum, management, and outcome of SARS-CoV-2-related multisystem inflammatory syndrome in children (MIS-C). We reviewed medical records of children with MIS-C diagnosis seen at the Children's Hospital of Michigan in Detroit between April and June 2020. Thirty-three ch...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-021-03935-1

    authors: Abdel-Haq N,Asmar BI,Deza Leon MP,McGrath EJ,Arora HS,Cashen K,Tilford B,Charaf Eddine A,Sethuraman U,Ang JY

    更新日期:2021-01-16 00:00:00

  • Vitamin D-binding protein in the perinatal period.

    abstract::The molecular polymorphism and quantitative levels of serum vitamin D-binding protein (DBP) were ascertained in a group of preterm, full-term and hypocalcaemic full-term newborn infants. The serum concentration of DBP is not influenced by phenotype and increases with fetal age from the 32nd-33rd week of gestation unti...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00451946

    authors: Auconi P,Biagini R,Colarizi P,Luciano R,Pascali VL,Rastelli D,Tortorolo G

    更新日期:1985-09-01 00:00:00

  • Clonal variation in childhood acute lymphoblastic leukaemia at early and late relapse detected by analyses of phenotype and genotype.

    abstract::To increase our knowledge of the clonal relationship of leukaemia relapse, the genotypes and phenotypes of ten children with acute lymphoblastic leukaemia (ALL) were examined at initial diagnosis and relapse. Seven patients were phenotyped as common ALL, two as mixed, and one as T-cell ALL (T-ALL). Comparative analyse...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00441975

    authors: Raghavachar A,Ludwig WD,Bartram CR

    更新日期:1988-06-01 00:00:00

  • Sinus histiocytosis with massive lymphoadenopathy (Rosai-Dorfman disease). Clinico-pathological analysis of a paediatric case.

    abstract::Histochemical and immunohistochemical studies performed in only a few cases of sinus histiocytosis with massive lymphoadenopathy (SHML) indicated that SHML cells belong to the macrophage--histiocyte system, though their exact origin is still uncertain. We analyzed the morphological, antigenic and enzymatic characteris...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01957571

    authors: Paulli M,Locatelli F,Kindl S,Boveri E,Facchetti F,Porta F,Rosso R,Nespoli L,Magrini U

    更新日期:1992-09-01 00:00:00

  • Congenital diaphragmatic eventration and hernia sac compared to CDH with true defects: a retrospective cohort study.

    abstract::Congenital diaphragmatic eventration (CDE) and congenital diaphragmatic hernia (CDH) with or without hernia sac are three different types of congenital diaphragmatic malformations, which this study evaluates. All surgically treated patients with CDE or Bochdalek type CDH between 2000 and 2016 were included in this ret...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-020-03576-w

    authors: Heiwegen K,van Heijst AF,Daniels-Scharbatke H,van Peperstraten MC,de Blaauw I,Botden SM

    更新日期:2020-06-01 00:00:00

  • Clinical recognition of mid-aortic syndrome in children.

    abstract::Mid-aortic syndrome is characterized by narrowing of the abdominal aorta, usually with the involvement of renal arteries and other visceral branches. The combination of the presence of an abdominal bruit, diminished or absent pulsations of the lower extremities, and a blood pressure discrepancy between upper and lower...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-012-1800-y

    authors: ten Dam K,van der Palen RL,Tanke RB,Schreuder MF,de Jong H

    更新日期:2013-03-01 00:00:00

  • Pacemaker implantation post congenital heart disease surgical repair: tertiary center experience.

    abstract::This was a retrospective study documenting all pacemaker implantations (PMIs) secondary to postoperative atrioventricular block. A total of 26 patients were included between 2011 and 2020. The incidence rate was 1.8%, with a median follow-up time of 4.5 years. At the time of the initial PMI, the median weight was 5 kg...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-020-03739-9

    authors: Ebrahim MA,Ashkanani HK,Alramzi RS,Malhas ZI,Al-Bahrani M,Sadek AA,Elsayed MA,Lyubomudrov VG

    更新日期:2020-12-01 00:00:00

  • The "4A" syndrome: adrenocortical insufficiency associated with achalasia, alacrima, autonomic and other neurological abnormalities.

    abstract::The triad of adrenocortical insufficiency with alacrima and achalasia is an unusual disease entity in paediatrics. The association of autonomic and peripheral neuropathies has more commonly been reported in older individuals. We describe four children (two siblings) with this disorder, aged between 3 and 6 years at di...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01972967

    authors: Gazarian M,Cowell CT,Bonney M,Grigor WG

    更新日期:1995-01-01 00:00:00

  • Periventricular leucomalacia: a review.

    abstract:UNLABELLED:Periventricular leucomalacia is a condition that causes lifelong disability and considerable economic burden. It occurs in premature infants of less than 32 weeks gestation due to their unique anatomical features. The white matter of these infants is poorly vascularised and contains oligodendrocyte progenito...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-004-1477-y

    authors: Blumenthal I

    更新日期:2004-08-01 00:00:00

  • The influence of mutations of enzyme activity and phenylalanine tolerance in phenylalanine hydroxylase deficiency.

    abstract::The phenylalanine hydroxylase (PAH) deficiency trait is heterogeneous with a continuum of metabolic phenotypes ranging from classical phenylketonuria (PKU) to mild hyperphenylalaninaemia (MHP). More than 200 mutations in the PAH gene are associated with PAH deficiency. From theoretical considerations or in vitro expre...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014253

    authors: Güttler F,Guldberg P

    更新日期:1996-07-01 00:00:00

  • Mucopolysaccharidosis II (Hunter disease) with corneal opacities. Report on two patients at the extremes of a wide clinical spectrum.

    abstract::Clinically visible corneal opacities were observed in a patient with an extremely severe form of mucopolysaccharidosis II. In a second patient with an unusually mild form of mucopolysaccharidosis II, discrete corneal opacities were detected by slit-lamp examination. Thus clear corneae can no longer be regarded as a ha...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00441369

    authors: Spranger J,Cantz M,Gehler J,Liebaers I,Theiss W

    更新日期:1978-08-17 00:00:00

  • Severe hemolysis and methemoglobinemia following fava beans ingestion in glucose-6-phosphatase dehydrogenase deficiency: case report and literature review.

    abstract:INTRODUCTION:Reduced concentrations of glucose-6-phospate dehydrogenase (G6PD) render erythrocytes susceptible to hemolysis under conditions of oxidative stress. In favism, the ingestion of fava beans induces an oxidative stress to erythrocytes, leading to acute hemolysis. DISCUSSION:The simultaneous occurrence of met...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-009-0952-x

    authors: Schuurman M,van Waardenburg D,Da Costa J,Niemarkt H,Leroy P

    更新日期:2009-07-01 00:00:00

  • 15 beta-hydroxylated steroids may be diagnostically misleading in confirming congenital adrenal hyperplasia suspected by a newborn screening programme.

    abstract:UNLABELLED:In a Swiss screening programme for detection of congenital adrenal hyperplasia (CAH), 27 of over 120,000 newborns examined from 1992 to 1994 were further studied because of persistingly high 17 alpha hydroxyprogesterone (17OHP). Out of 27, 11 were later confirmed to have CAH by specific gas chromatography of...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02282880

    authors: Lange-Kubini K,Zachmann M,Kempken B,Torresani T

    更新日期:1996-11-01 00:00:00

  • Urinary concentration of cytokines in children with acute pyelonephritis.

    abstract::Urinary tract infection (UTI) is a common bacterial infection among infants and children. Predicting which children with upper UTI will develop long-term sequelae remains difficult. We aimed at evaluating the predictive value of urine concentrations of interleukin-6 (UIL-6) and interleukin-8 (UIL-8) in subsequent rena...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-012-1914-2

    authors: Renata Y,Jassar H,Katz R,Hochberg A,Nir RR,Klein-Kremer A

    更新日期:2013-06-01 00:00:00

  • A fatal case of portal hypertension complicating systemic mastocytosis in an adolescent.

    abstract::Portal hypertension was observed in a 17-year-old girl with urticaria pigmentosa since 2 months of age. Liver biopsies showed portal and sinusoidal infiltration with mast cells although spleen biopsies showed only fibrosis. CONCLUSION. Portal hypertension is a complication of systemic mastocytosis that can lead to dea...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01959789

    authors: Fonga-Djimi HS,Gottrand F,Bonnevalle M,Farriaux JP

    更新日期:1995-10-01 00:00:00

  • Novel CYP11B2 mutation causing aldosterone synthase (P450c11AS) deficiency.

    abstract:UNLABELLED:Aldosterone synthase (P450c11AS) deficiency is a rare autosomal recessive disorder, presenting with severe salt-losing in early infancy. It is caused by inactivating mutations of the CYP11B2 gene. Here, we describe three unrelated Asian patients who have clinical and hormonal features compatible with aldoste...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-012-1792-7

    authors: Klomchan T,Supornsilchai V,Wacharasindhu S,Shotelersuk V,Sahakitrungruang T

    更新日期:2012-10-01 00:00:00

  • Systematic review: probiotics for functional constipation in children.

    abstract::We updated our 2010 systematic review on the efficacy of probiotics in the treatment of constipation in children. The MEDLINE, EMBASE, and Cochrane Library databases; clinical trial registries; and reference lists of included studies were searched to February 2017 for randomized controlled trials (RCTs) performed in c...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-017-2972-2

    authors: Wojtyniak K,Szajewska H

    更新日期:2017-09-01 00:00:00

  • Double-blind controlled study on the efficacy of sodium alginate (Gaviscon) in reducing gastroesophageal reflux assessed by 24 h continuous pH monitoring in infants and children.

    abstract::We studied the effects of an alginate compound (Gaviscon) on the frequency and the duration of gastroesophageal reflux (GOR) episodes in children. Twenty infants and children with characteristic symptoms of GOR were divided at random into two groups which were given either Gaviscon (ten patients, mean age: 21 months) ...

    journal_title:European journal of pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02343223

    authors: Buts JP,Barudi C,Otte JB

    更新日期:1987-03-01 00:00:00

  • Successful treatment of metastatic βHCG-secreting germ cell tumor occurring 3 years after total resection of a pineal mature teratoma.

    abstract:UNLABELLED:Patients diagnosed with intracranial teratoma are at risk for developing a recurrent malignant germ cell tumor. We describe a 14-year-old boy initially diagnosed with a mature teratoma in the pineal region that recurred as a metastatic beta-human chorionic gonadotropin (βHCG)-secreting germ cell tumor 3 year...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-014-2282-x

    authors: Cardellicchio S,Farina S,Buccoliero AM,Agresti B,Genitori L,de Martino M,Fangusaro J,Sardi I

    更新日期:2014-08-01 00:00:00

  • Paraneoplastic manifestations in children.

    abstract::Paraneoplastic manifestations are signs and symptoms observed in patients with cancer, distant from the tumour or its metastases and not caused by invasion, obstruction or bulk mass. In children with cancer, paraneoplastic manifestations are rare and distinct from those observed in adults. Knowledge about paraneoplast...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF01972883

    authors: de Graaf JH,Tamminga RY,Kamps WA

    更新日期:1994-11-01 00:00:00

  • Effects of levothyroxine therapy on left and right ventricular function in neonates with congenital hypothyroidism: a tissue Doppler echocardiography study.

    abstract::Cardiac function is impaired in adults or children with hypothyroidism and it can be reversed by levothyroxine (L-T(4)) substitution therapy. However, only a few studies are available on left and right ventricular function in neonates with congenital hypothyroidism (CH), most of which were performed with standard echo...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-007-0417-z

    authors: Mao S,Wang Y,Jiang G,Zhao Z

    更新日期:2007-12-01 00:00:00

  • Increased cerebral blood flow velocities in newborn infants of smoking mothers.

    abstract::Cerebral blood flow velocities (CBFV) were measured by the pulsed Doppler method in 41 infants of smoking mothers and in 59 apparently healthy control infants. Although gestational age, birth weight, and systolic blood pressure were lower in infants exposed to tobacco smoke prenatally, systolic (65 +/- 11 vs. 47 +/- 1...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01956151

    authors: Abdul-Khaliq H,Segerer H,Luck W,Obladen M

    更新日期:1993-03-01 00:00:00

  • Cytokines in chronic lung disease of prematurity.

    abstract::Chronic lung disease of prematurity (CLD) is a common respiratory disorder of preterm infants. At autopsy, fibroblast proliferation, and components of the extracellular matrix, including collagen and fibronectin, are markedly increased in the lungs of infants who die from CLD. Examination of broncho-alveolar fluid sug...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF01958074

    authors: Kotecha S

    更新日期:1996-08-01 00:00:00

  • Molecular genetic analysis of podocyte genes in focal segmental glomerulosclerosis--a review.

    abstract::This review deals with podocyte proteins that play a significant role in the structure and function of the glomerular filter. Genetic linkage studies has identified several genes involved in the development of nephrotic syndrome and contributed to the understanding of the pathophysiology of glomerular proteinuria and/...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-009-1017-x

    authors: Löwik MM,Groenen PJ,Levtchenko EN,Monnens LA,van den Heuvel LP

    更新日期:2009-11-01 00:00:00