Targeting lonidamine to mitochondria mitigates lung tumorigenesis and brain metastasis

Nat Commun. 2019 May 17;10(1):2205. doi: 10.1038/s41467-019-10042-1.

Abstract

Lung cancer often has a poor prognosis, with brain metastases a major reason for mortality. We modified lonidamine (LND), an antiglycolytic drug with limited efficacy, to mitochondria-targeted mito-lonidamine (Mito-LND) which is 100-fold more potent. Mito-LND, a tumor-selective inhibitor of oxidative phosphorylation, inhibits mitochondrial bioenergetics in lung cancer cells and mitigates lung cancer cell viability, growth, progression, and metastasis of lung cancer xenografts in mice. Mito-LND blocks lung tumor development and brain metastasis by inhibiting mitochondrial bioenergetics, stimulating the formation of reactive oxygen species, oxidizing mitochondrial peroxiredoxin, inactivating AKT/mTOR/p70S6K signaling, and inducing autophagic cell death in lung cancer cells. Mito-LND causes no toxicity in mice even when administered for eight weeks at 50 times the effective cancer inhibitory dose. Collectively, these findings show that mitochondrial targeting of LND is a promising therapeutic approach for investigating the role of autophagy in mitigating lung cancer development and brain metastasis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Autophagy / drug effects
  • Brain Neoplasms / drug therapy*
  • Brain Neoplasms / secondary
  • Carcinogenesis / drug effects
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Carcinoma, Non-Small-Cell Lung / secondary
  • Cell Line, Tumor
  • Drug Delivery Systems / methods*
  • Electron Transport Complex I / metabolism
  • Electron Transport Complex II / metabolism
  • Female
  • Humans
  • Indazoles / pharmacology*
  • Indazoles / therapeutic use
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / pathology
  • Mice
  • Mice, Inbred NOD
  • Mice, Nude
  • Mice, SCID
  • Mitochondria / drug effects*
  • Mitochondria / metabolism
  • Reactive Oxygen Species / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • Indazoles
  • Reactive Oxygen Species
  • Electron Transport Complex II
  • Electron Transport Complex I
  • lonidamine