Hyperthermia produces regression of human cancer. Because hyperthermia has
produced only limited results, attention has focused on searching for subst
ances able to sensitize tumour cells to the effects of hyperthermia. The fl
avonoid quercetin has been reported to be a hyperthermic sensitizer in ovar
ian and uterine cervical tumours and in leukaemia. Quercetin and tamoxifen
inhibit melanoma cell growth. We therefore investigated whether quercetin a
nd tamoxifen can sensitize M10, M14 and MNT1 human melanoma cells to hypert
hermia. We observed that both quercetin and tamoxifen synergize with hypert
hermia (42.5 degreesC) in reducing the clonogenic activity of M14 and MNT1
and in inducing apoptotic cell death in all three cell lines. As revealed b
y flow cytometric and Northern blot analyses, quercetin and tamoxifen reduc
ed heat shock protein-70 expression at both protein and mRNA levels. Our re
sults suggest that quercetin and tamoxifen can be usefully combined with hy
perthermia in the therapy of recurrent and/or metastatic melanoma. (C) 2001
Lippincott Williams & Wilkins.