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Publication Name World Journal of Clinical Pediatrics
Manuscript ID 120927
Country Russia
Category Pediatrics
Manuscript Type Case Report
Article Title Genetic predisposition of Asparaginase-induced hypertriglyceridemia in children with acute lymphoblastic leukemia: A case report and review of literature
Manuscript Source Invited Manuscript
All Author List Maria Krivosheina, Victoria Bakaleiko, Yulia Toshina, George Baratashvili, Polina Sokolnikova, Olga V Kalinina, Asiiat Alieva, Yulia Dinikina and Anna A Kostareva
Funding Agency and Grant Number
Funding Agency Grant Number
the Ministry of Science and Higher Education of the Russian Federation No. 075-15-2022-301
Corresponding Author Anna A Kostareva, Institute of Molecular Biology and Genetics, Department of Molecular Medicine and Cellular Biology, Institution of Medical Education,, Almazov National Medical Research Centre, Akkuratova Street, 2, Saint-Petersburg 197341, Russia. anna.kostareva@ki.se
Key Words Children; Acute leukemia; Asparaginase; Toxicity; Hypertriglyceridemia; Genetics; Clinical testing; Case report
Core Tip Pegylated (PEG) asparaginase (ASP) is a key chemotherapy agent used in pediatric acute lymphoblastic leukemia treatment protocols. This modified form of ASP exhibits prolonged activity and reduced immunogenicity, contributing to its therapeutic efficacy and dosing convenience. However, PEG-ASP therapy can lead to various toxicities, including hypertriglyceridemia (HTG). Several genes involved in triglyceride (TG) metabolism are known to influence susceptibility to this condition, with genetic variants potentially predisposing individuals to elevated TG levels. Based on the two cases presented here, we hypothesize that genetic factors may contribute to HTG in certain pediatric patients receiving PEG-ASP therapy.
Citation Krivosheina M, Bakaleiko V, Toshina Y, Baratashvili G, Sokolnikova P, Kalinina OV, Alieva A, Dinikina Y, Kostareva AA. Genetic predisposition of Asparaginase-induced hypertriglyceridemia in children with acute lymphoblastic leukemia: Two case reports and review of literature. World J Clin Pediatr 2026; In press
Received
2026-03-19 03:56
Peer-Review Started
2026-03-19 05:50
First Decision by Editorial Office Director
2026-04-04 02:39
Return for Revision
2026-04-04 02:39
Revised
2026-04-25 20:56
Publication Fee Transferred
Second Decision by Editor
2026-05-18 02:51
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-18 05:32
Articles in Press
2026-05-18 05:32
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2219-2808 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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