RT Journal Article SR Electronic T1 Efficacy In Vitro of Caffeine and Valproic Acid on Patient-Derived Undifferentiated Pleomorphic Sarcoma and Rhabdomyosarcoma Cell Lines JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4081 OP 4084 VO 37 IS 8 A1 KENTARO IGARASHI A1 KEI KAWAGUCHI A1 TASUKU KIYUNA A1 TAKASHI MURAKAMI A1 SHINJI MIWA A1 SCOTT D. NELSON A1 SARAH M. DRY A1 YUNFENG LI A1 ARUN S. SINGH A1 HIROAKI KIMURA A1 KATSUHIRO HAYASHI A1 NORIO YAMAMOTO A1 HIROYUKI TSUCHIYA A1 FRITZ C. EILBER A1 ROBERT M. HOFFMAN YR 2017 UL http://ar.iiarjournals.org/content/37/8/4081.abstract AB Background/Aim: We have previously reported that caffeine (CAF) can enhance chemotherapy efficacy of bone and soft-tissue sarcoma established cell lines via cell-cycle perturbation. We subsequently tested the combination of valproic acid (VPA), a histone deacetylase (HDAC) inhibitor, with caffeine on established human osteosarcoma cells in vitro. Both VPA and CAF caused concentration-dependent cell death of the osteosarcoma cell lines in vitro, and their combination was synergistic. We subsequently established patient-derived cell lines from undifferentiated pleomorphic sarcoma (UPS) and rhabdomyosarcoma (RMS), both of which are recalcitrant cancers. These cell lines are termed AC-UPS01 and AC-RMS01, respectively. Materials and Methods: In the present study, we tested CAF and VPA and their combination on the two patient-derived sarcoma cell lines. Cell survival after a 72 h exposure to each drug was determined by the WST-8 assay. IC50 values were calculated for each drug. Results: CAF and VPA caused concentration-dependent cytocidal efficacy for both cell lines. The IC50 for CAF for AC-UPS01 was 2.02 ± 0.22 mM. The IC50 for VPA for AC-UPS01 was 9.54 ± 1.44 mM. The IC50 for CAF for AC-RMS01 was 2.37 ± 0.48 mM. The IC50 for VPA for AC-RMS01 was 2.13 ± 0.20 mM. Synergistic efficacy of combination treatment of CAF and VPA was also observed for both cell lines. Conclusion: The results of the present study suggest that CAF and VPA may be useful in the treatment of recalcitrant sarcoma.