title: [Circumvention of the multidrug-resistance in renal cancer by bisbenzylisoquinoline].
abstract: A bisbenzylisoquinoline alkaloid, cepharanthine, significantly enhanced vinblastine, adriamycin and etoposide sensitivities in P-glycoprotein positive renal cancer cells. However, it did not show any enhancing effect on cisplatin sensitivity. Four patients with metastatic renal cell carcinomas were treated with intraarterial chemotherapy using vinblastine and/or adriamycin in combination with cepharanthine for their metastatic lesions (3 bone and 1 contralateral kidney metastases). A partial response was observed in 1 patient with femoral bone metastasis and a minor response in 1 patient with lumbar bone metastasis, although they were also treated with interferons. No adverse effects associated with cepharanthine were seen except in one patient complaining of redness and burning sense of the skin probably due to its vaso-dilatation effect.
authors.affiliation: Department of Urology, Kyoto University Faculty of Medicine.
authors.forename: Y
authors.initials: Y
authors.lastname: Kakehi
authors.forename: T
authors.initials: T
authors.lastname: Hashimura
authors.forename: O
authors.initials: O
authors.lastname: Yoshida
authors.forename: T
authors.initials: T
authors.lastname: Segawa
authors.forename: A
authors.initials: A
authors.lastname: Kanematsu
mesh_terms: D000470:Alkaloids / Q000008:administration & dosage*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D044182:Benzylisoquinolines; D001859:Bone Neoplasms / Q000188:drug therapy / Q000556:secondary; D002292:Carcinoma, Renal Cell / Q000188:drug therapy* / Q000556:secondary; D002945:Cisplatin / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D004351:Drug Resistance; D006801:Humans; D007261:Infusions, Intra-Arterial; D007680:Kidney Neoplasms / Q000188:drug therapy* / Q000473:pathology; D014407:Tumor Cells, Cultured / Q000187:drug effects; D014747:Vinblastine / Q000008:administration & dosage; D052117:Benzodioxoles
chemical_list: D000470:Alkaloids; D044182:Benzylisoquinolines; D002945:Cisplatin; D004317:Doxorubicin; D014747:Vinblastine; C006947:cepharanthine; D052117:Benzodioxoles