RT Journal Article SR Electronic T1 Oral Recombinant Methioninase, Combined With Oral Caffeine and Injected Cisplatinum, Overcome Cisplatinum-Resistance and Regresses Patient-derived Orthotopic Xenograft Model of Osteosarcoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4653 OP 4657 DO 10.21873/anticanres.13646 VO 39 IS 9 A1 TAKASHI HIGUCHI A1 HIROMICHI OSHIRO A1 KENTARO MIYAKE A1 NORIHIKO SUGISAWA A1 QINGHONG HAN A1 YUYING TAN A1 JUNHO PARK A1 ZHIYING ZHANG A1 SAHAR RAZMJOOEI A1 NORIO YAMAMOTO A1 KATSUHIRO HAYASHI A1 HIROAKI KIMURA A1 SHINJI MIWA A1 KENTARO IGARASHI A1 MICHAEL BOUVET A1 SANT P. CHAWLA A1 SHREE RAM SINGH A1 HIROYUKI TSUCHIYA A1 ROBERT M. HOFFMAN YR 2019 UL http://ar.iiarjournals.org/content/39/9/4653.abstract AB Background/Aim: Osteosarcoma is a recalcitrant neoplasm which occurs predominantly in adolescents and young adults. Recently, using a patient-derived orthotopic xenograft (PDOX) model of malignant soft-tissue sarcoma (STS), we showed that oral recombinant methioninase (o-rMETase), in combination with caffeine, was more efficacious than o-rMETase alone in inhibiting STS tumor growth. In the present report, we determined the efficacy of o-rMETase combined with oral caffeine on a cisplatinum (CDDP)-resistant osteosarcoma PDOX model. Materials and Methods: Osteosarcoma PDOX models were randomly divided into seven treatment groups (6 mice in each group): untreated control; CDDP alone; o-rMETase alone; o-rMETase with caffeine; CDDP plus o-rMETase; CDDP plus caffeine; and CDDP plus o-rMETase with caffeine. Tumor size and body weight were measured throughout the treatment. Results: Tumors regressed after treatment with CDDP plus o-rMETase with caffeine. Tumors treated with CDDP plus o-rMETase with caffeine also had the most necrosis. Conclusion: The combination of o-rMETase and caffeine together with first-line chemotherapy was efficacious for drug-resistant osteosarcoma and has clinical potential in the treatment of this highly-resistant neoplasm.