Lonidamine is an inhibitor of hexokinase, mitochondrial pyruvate carrier (with a Ki of 2.5μM in isolated rat liver mitochondria) and plasma membrane monocarboxylate transporter, and also inhibits mitochondrial complex II [1]. Lonidamine is an anti-tumor drug that can inhibit aerobic glycolysis in cancer cells [2]. Lonidamine can be used in the research of mitochondrial metabolism and inflammation [3].
In vitro, Lonidamine (3, 10, and 30μM; 24h) treatment of IL-4, IL-13, and TNF-α-induced human nasal mucosal epithelial cells significantly and dose-dependently reduced the expression of CXCL1 and PTN, confirming its direct anti-inflammatory and anti-resorptive effects on nasal epithelial cells [4]. Lonidamine (150μM; 45min and 3h) treatment of human melanoma DB-1 cells significantly reduced NADH levels, the Fp redox ratio (Fp/(NADH + Fp)) increased, and mitochondrial redox capacity significantly decreased [5].
In vivo, Lonidamine (100mg/kg; ip) treatment for 2 hours significantly reduced the βNTP level in nude mice with DB-1 human melanoma. At the same time, the NTP levels in DB-1, HCC1806, BT-474, A2780 and LNCaP also decreased respectively [6]. Lonidamine (1, 3, and 10mg/kg/day for 11 days; i.g.) treatment alleviated the symptoms of chronic sinusitis mice, reduced sneezing, cytokine release, inflammatory cell infiltration, and goblet cell hyperplasia. Lonidamine inhibits inflammation by inhibiting the differentiation of inflammatory epithelial cells and neutrophils through Cxcl1-Cxcr2 [4].
References:
[1] Shutkov IA, Okulova YN, Tyurin VY, et al. Ru(III) Complexes with Lonidamine-Modified Ligands. Int J Mol Sci. 2021;22(24):13468.
[2] Nancolas B, et al. The anti-tumour agent lonidamine is a potent inhibitor of the mitochondrial pyruvate carrier and plasma membrane monocarboxylate transporters. Biochem J. 2016 Apr 1;473(7):929-36.
[3] Xueqian Yin, et al. Hexokinase 2 couples glycolysis with the profibrotic actions of TGF-β. Sci Signal. 2019 Dec 17;12(612):eaax4067.
[4] Liu J, Wu L, Wei H, et al. Lonidamine alleviates inflammation and tissue remodeling in a mouse model of eosinophilic chronic sinusitis: A single-cell transcriptomics study[J]. International Immunopharmacology, 2025, 163: 115258.
[5] Xu H N, Feng M, Nath K, et al. Optical redox imaging of lonidamine treatment response of melanoma cells and xenografts[J]. Molecular Imaging and Biology, 2019, 21(3): 426-435.
[6] Nath K, Nelson D S, Heitjan D F, et al. Lonidamine induces intracellular tumor acidification and ATP depletion in breast, prostate and ovarian cancer xenografts and potentiates response to doxorubicin[J]. NMR in Biomedicine, 2015, 28(3): 281-290.
















