RT Journal Article SR Electronic T1 Combination Methionine-methylation-axis Blockade: A Novel Approach to Target the Methionine Addiction of Cancer JF Cancer Genomics - Proteomics JO Cancer Genomics Proteomics FD International Institute of Anticancer Research SP 113 OP 120 DO 10.21873/cgp.20246 VO 18 IS 2 A1 HIGUCHI, TAKASHI A1 HAN, QINGHONG A1 SUGISAWA, NORIHIKO A1 YAMAMOTO, JUN A1 YAMAMOTO, NORIO A1 HAYASHI, KATSUHIRO A1 KIMURA, HIROAKI A1 MIWA, SHINJI A1 IGARASHI, KENTARO A1 BOUVET, MICHAEL A1 SINGH, SHREE RAM A1 TSUCHIYA, HIROYUKI A1 HOFFMAN, ROBERT M. YR 2021 UL http://cgp.iiarjournals.org/content/18/2/113.abstract AB Background/Aim: Cancers are selectively sensitive to methionine (MET) restriction (MR) due to their addiction to MET which is overused for elevated methylation reactions. MET addiction of cancer was discovered by us 45 years ago. MR of cancer results in depletion of S-adenosylmethionine (SAM) for transmethylation reactions, resulting in selective cancer-growth arrest in the late S/G2-phase of the cell cycle. The aim of the present study was to determine if blockade of the MET-methylation axis is a highly-effective strategy for cancer chemotherapy. Materials and Methods: In the present study, we demonstrated the efficacy of MET-methylation-axis blockade using MR by oral-recombinant methioninase (o-rMETase) combined with decitabine (DAC), an inhibitor of DNA methylation, and an inhibitor of SAM synthesis, cycloleucine (CL). We determined a proof-of-concept of the efficacy of the MET-methylation-axis blockade on a recalcitrant undifferentiated/unclassified soft-tissue sarcoma (USTS) patient-derived orthotopic xenograft (PDOX) mouse model. Results: The o-rMETase-CL-DAC combination regressed the USTS PDOX with extensive cancer necrosis. Conclusion: The new concept of combination MET-methylation-axis blockade is effective and can now be tested on many types of recalcitrant cancer.