Q4 · MEDICINE
Article
Author: Miyake, Kentaro ; Hoffman, Robert M ; Miwa, Shinji ; Kawaguchi, Kei ; Higuchi, Takashi ; Singh, Shree Ram ; Igarashi, Kentaro ; Dry, Sarah M ; Tsuchiya, Hiroyuki ; Kiyuna, Tasuku ; Nelson, Scott D ; Han, Qinghong ; Li, Yunfeng ; Kimura, Hiroaki ; Zhao, Ming ; Yamamoto, Norio ; Tan, Yuying ; Hayashi, Katsuhiro
BACKGROUND/AIMDedifferentiated 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 METHODSA 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.RESULTSOn 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.CONCLUSIONThe combination of rMETase and S. typhimurium A1-R has important clinical potential for this recalcitrant sarcoma.