PMID- 36288875 OWN - NLM STAT- MEDLINE DCOM- 20221101 LR - 20221101 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 42 IP - 11 DP - 2022 Nov TI - Oral-recombinant Methioninase in Combination With Rapamycin Eradicates Osteosarcoma of the Breast in a Patient-derived Orthotopic Xenograft Mouse Model. PG - 5217-5222 LID - 10.21873/anticanres.16028 [doi] AB - BACKGROUND/AIM: Primary osteosarcoma of the breast is a very rare malignancy that shares histological features with osteosarcoma. It is also highly sensitive to methionine restriction due to methionine addiction. We previously established a patient-derived orthotopic xenograft (PDOX) nude-mouse model derived from tumor tissue of a patient with primary mammary osteosarcoma. In the present study, we investigated the efficacy of oral-recombinant methioninase (o-rMETase), combined with rapamycin, an inhibitor of mammalian target of rapamycin (mTOR) kinase, on a mammary osteosarcoma PDOX nude-mouse model. MATERIALS AND METHODS: The PDOX mouse model was established by surgically transplanting a specimen of primary osteosarcoma of the breast into the mammary gland of nude mice. Mice implanted with tumors were randomly divided into four groups: Control group, N=5; rapamycin-treated group, N=5; o-rMETase-treated group, N=5; and a group treated with the combination of o-rMETase and rapamycin, N=5. Mice were treated for 2 weeks after transplantation, and tumor volume was measured during the treatment period. RESULTS: Treatment with the combination of rapamycin and o-rMETase eradicated the osteosarcoma of the breast compared to the untreated control (p=0.000008). o-rMETase alone did not significantly inhibit tumor growth, and rapamycin alone only partially inhibited the tumor (p=0.78 and p=0.018, respectively) compared to the untreated control. There was not a significant difference in mouse weight between the groups. CONCLUSION: The combination of rapamycin and o-rMETase was highly effective against primary osteosarcoma of the breast in a PDOX model, suggesting a future clinical strategy for this rare cancer type that currently has no first-line treatment. CI - Copyright (c) 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Masaki, Noriyuki AU - Masaki N AD - AntiCancer Inc, San Diego, CA, U.S.A. AD - Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan. AD - Department of Surgery, University of California, San Diego, CA, U.S.A. FAU - Han, Qinghong AU - Han Q AD - AntiCancer Inc, San Diego, CA, U.S.A. FAU - Samonte, Carissa AU - Samonte C AD - AntiCancer Inc, San Diego, CA, U.S.A. FAU - Wu, Nathaniel F AU - Wu NF AD - Department of Molecular and Cellular Biology, Harvard University, Cambridge, MA, U.S.A. FAU - Hozumi, Chihiro AU - Hozumi C AD - AntiCancer Japan Inc, Narita, Japan. FAU - Wu, Justin AU - Wu J AD - Department of General Surgery, Kaiser Permanente San Diego Medical Center, San Diego, CA, U.S.A. FAU - Obara, Koya AU - Obara K AD - AntiCancer Inc, San Diego, CA, U.S.A. AD - Department of Surgery, University of California, San Diego, CA, U.S.A. FAU - Kubota, Yutaro AU - Kubota Y AD - AntiCancer Inc, San Diego, CA, U.S.A. AD - Department of Surgery, University of California, San Diego, CA, U.S.A. FAU - Aoki, Yusuke AU - Aoki Y AD - AntiCancer Inc, San Diego, CA, U.S.A. AD - Department of Surgery, University of California, San Diego, CA, U.S.A. FAU - Bouvet, Michael AU - Bouvet M AD - Department of Surgery, University of California, San Diego, CA, U.S.A. FAU - Hoffman, Robert M AU - Hoffman RM AD - AntiCancer Inc, San Diego, CA, U.S.A.; all@anticancer.com. AD - Department of Surgery, University of California, San Diego, CA, U.S.A. LA - eng PT - Journal Article PT - Randomized Controlled Trial, Veterinary PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - EC 4.4.- (Carbon-Sulfur Lyases) RN - EC 4.4.1.11 (L-methionine gamma-lyase) RN - AE28F7PNPL (Methionine) RN - 0 (Recombinant Proteins) RN - W36ZG6FT64 (Sirolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Mice MH - *Bone Neoplasms/drug therapy MH - Carbon-Sulfur Lyases/pharmacology MH - Disease Models, Animal MH - Heterografts MH - Methionine MH - Mice, Nude MH - *Osteosarcoma/drug therapy/pathology MH - Recombinant Proteins/pharmacology/therapeutic use MH - Sirolimus/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases MH - Xenograft Model Antitumor Assays OTO - NOTNLM OT - Breast osteosarcoma OT - Hoffman effect OT - PDOX OT - combination therapy OT - efficacy OT - methioninase OT - nude mice OT - rapamycin OT - synergy EDAT- 2022/10/27 06:00 MHDA- 2022/10/29 06:00 CRDT- 2022/10/26 20:53 PHST- 2022/09/03 00:00 [received] PHST- 2022/09/23 00:00 [revised] PHST- 2022/09/27 00:00 [accepted] PHST- 2022/10/26 20:53 [entrez] PHST- 2022/10/27 06:00 [pubmed] PHST- 2022/10/29 06:00 [medline] AID - 42/11/5217 [pii] AID - 10.21873/anticanres.16028 [doi] PST - ppublish SO - Anticancer Res. 2022 Nov;42(11):5217-5222. doi: 10.21873/anticanres.16028.