Q4 · MEDICINE
Article
Author: Kiyuna, Tasuku ; Kimura, Hiroaki ; Han, Qinghong ; Igarashi, Kentaro ; Higuchi, Takashi ; Tsuchiya, Hiroyuki ; Miwa, Shinji ; Zhao, Ming ; Yamamoto, Norio ; Li, Yunfeng ; Hoffman, Robert M ; Tan, Yuying ; Hayashi, Katsuhiro ; Nelson, Scott D ; Kawaguchi, Kei ; Dry, Sarah M ; Miyake, Kentaro ; Singh, Shree Ram
BACKGROUND/AIM:Dedifferentiated liposarcoma (DDLPS) is associated with a poor survival rate even with multi-modality treatment. In the present study, we evaluated the efficacy of recombinant methioninase (rMETase) combined with tumor-targeting Salmonella typhimurium (S. typhimurium) A1-R against a doxorubicin-resistant DDLPS in a patient-derived orthotopic xenograft (PDOX) mouse model.
MATERIALS AND METHODS:A recurrent high-grade DDLPS from the right retroperitoneum of a patient was grown orthotopically in the retroperitoneum of nude mice to establish a PDOX model. The PDOX models were randomly divided into the following groups: Control, no treatment; doxorubicin monotherapy; rMETase monotherapy; S. typhimurium A1-R monotherapy; S. typhimurium A1-R and rMETase combination therapy. Tumor length and width were measured before and after treatment.
RESULTS:On day 14 after treatment, all treatments significantly inhibited DDLPS PDOX tumor growth compared to the untreated control except for doxorubicin monotherapy. rMETase combined with S. typhimurium A1-R was significantly more effective and regressed tumor volume compared to either rMETase or S. typhimurium A1-R alone. The relative body weight did not significantly differ between days 0 and 14 for individual groups.
CONCLUSION:The combination of rMETase and S. typhimurium A1-R has important clinical potential for this recalcitrant sarcoma.