RT Journal Article SR Electronic T1 Oral Recombinant Methioninase Overcomes Colorectal-cancer Liver Metastasis Resistance to the Combination of 5-Fluorouracil and Oxaliplatinum in a Patient-derived Orthotopic Xenograft Mouse Model JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4667 OP 4671 DO 10.21873/anticanres.13648 VO 39 IS 9 A1 HIROMICHI OSHIRO A1 YASUNORI TOME A1 TASUKU KIYUNA A1 SANG NAM YOON A1 THINZAR M. LWIN A1 QINGHONG HAN A1 YUYING TAN A1 KENTARO MIYAKE A1 TAKASHI HIGUCHI A1 NORIHIKO SUGISAWA A1 YUKI KATSUYA A1 JUN HO PARK A1 ZHIYING ZANG A1 SAHAR RAZMJOOEI A1 MICHAEL BOUVET A1 BRYAN CLARY A1 SHREE RAM SINGH A1 FUMINORI KANAYA A1 KOTARO NISHIDA A1 ROBERT M. HOFFMAN YR 2019 UL http://ar.iiarjournals.org/content/39/9/4667.abstract AB Background/Aim: Liver metastasis in colorectal-cancer is a recalcitrant disease. To develop precision individualized therapy of this disease, we developed a patient-derived orthotopic xenograft (PDOX) model of colorectal-cancer liver metastasis. In the present report, we evaluated the efficacy of oral recombinant methioninase (o-rMETase) in combination with 5-fluorouracil (5-FU) and oxaliplatinum (OXA) on the colorectal-cancer liver metastasis PDOX mouse model. Materials and Methods: Colorectal-cancer liver metastasis PDOX models were randomized into three groups of seven mice. Group 1, untreated control with phosphate buffered saline (PBS); Group 2, treated with 5-FU + OXA; and Group 3, treated with 5-FU + OXA + o-rMETase. Results: The colorectal-cancer liver metastasis PDOX model was resistant to 5-FU + OXA (p=0.83 at day 15 of treatment, Group 2). In contrast, the colorectal-cancer liver metastasis PDOX model was arrested by o-rMETase combined with 5-FU + OXA (p<0.01 at day 15, Group 3). No significant body-weight differences were observed among the groups. Conclusion: The combination therapy of 5-FU and OXA with o-rMETase can overcome the resistance of first line drugs for colorectal-cancer liver metastasis.