“…The stronger metabolic change caused by the ruthenium drug (KP1339) treatment compared to oxaliplatin treatment was further confirmed by hierarchical cluster analysis, where KP1339-treated samples were separated from both controls, which was not the case for oxaliplatin-treated samples (Figure 4). Overall, the fact that we see a stronger effect in the metabolome with KP1339 treatment than with oxaliplatin treatment is not surprising, since in a study with monolayer cell cultures of the same cell line, we observed considerably milder effects with oxaliplatin, as well [37]. Pathway enrichment analysis using targeted data revealed that oxaliplatin exposure affected purine metabolism (GMP and adenosine being most significantly down-regulated; glutamine, IMP, inosine, guanosine, guanine, adenine, and AMP were also affected) and pyrimidine synthesis (UMP and CMP being most significantly down-regulated; but cytidine, uracil, glutamine and thymine were also affected), which is in agreement with the accepted mechanism of action of DNA targeting [45] Pathway enrichment analysis using targeted data revealed that oxaliplatin exposure affected purine metabolism (GMP and adenosine being most significantly down-regulated; glutamine, IMP, inosine, guanosine, guanine, adenine, and AMP were also affected) and pyrimidine synthesis (UMP and CMP being most significantly down-regulated; but cytidine, uracil, glutamine and thymine were also affected), which is in agreement with the accepted mechanism of action of DNA targeting [45] ( Figure 5a, Table S3, "pathways_pathways_oxaliplatin").…”