Abstract

An excessive requirement for methionine (MET), termed MET dependence, appears to be a general metabolic defect in cancer and has been shown to be a very effective therapeutic target. MET restriction (MR) has inhibited the growth of all major cancer types by selectively arresting cancer cells in the late-S/G2 phase, when they also become highly sensitive to cytotoxic agents. Recombinant methioninase (rMETase) has been developed to effect MR. The present review describes the efficacy of rMETase on patient-derived orthotopic xenograft (PDOX) models of recalcitrant cancer, including the surprising result that rMETase administrated orally can be highly effective.

Highlights

  • These results suggested that i.p.-Recombinant Methioninase (rMETase) decreases MET in the blood and suppresses the supply of MET to tumors, thereby inhibiting tumor growth

  • Our laboratory developed Salmonella typhimurium A1-R (S. typhimurium A1-R) that is auxotrophic for Leu–Arg, which prevents it from mounting a continuous infection in normal tissues

  • We showed using sequential treatment of tumors with S. typhimurium A1-R to decoy quiescent cancer cells to cycle and rMETase to selectively trap the decoyed cancer cells in the S/G2 phase, that subsequent chemotherapy could eradicate tumors in mouse models of human stomach cancer and a metastasis osteosarcoma patient-derived orthotopic xenograft (PDOX) model

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Summary

Introduction

Methionine (MET) is an essential amino acid, which is absorbed in the small intestine. The absorbed methionine is used for protein synthesis and converted to S-adenosylmethionine (SAM), which plays an important role in DNA methylation and metabolic reactions. S-adenosylhomocysteine (SAH) during the methylation of DNA, various proteins and other molecules (Figure 1) [1]

MET Dependence in Cancer
Materials and Methods
Preparation and Administration of Salmonella typhimurium A1-R
Intraperitoneal Injection of rMETase in PDOX Models of Cancer
Oral administration of rMETase for PDOX
Combination of rMETase and Chemotherapy
Combination Therapy of rMETase and Bacterial Therapy
Conclusions
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