PMID- 33187214 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201201 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 11 DP - 2020 Nov 11 TI - The Potential of Lonidamine in Combination with Chemotherapy and Physical Therapy in Cancer Treatment. LID - 10.3390/cancers12113332 [doi] LID - 3332 AB - Lonidamine (LND) has the ability to resist spermatogenesis and was first used as an anti-spermatogenic agent. Later, it was found that LND has a degree of anticancer activity. Currently, LND is known to target energy metabolism, mainly involving the inhibition of monocarboxylate transporter (MCT), mitochondrial pyruvate carrier (MPC), respiratory chain complex I/II, mitochondrial permeability transition (PT) pore, and hexokinase II (HK-II). However, phase II clinical studies showed that LND alone had a weak therapeutic effect, and the effect was short and reversible. Interestingly, LND does not have the common side effects of traditional chemotherapeutic drugs, such as alopecia and myelosuppression. In addition, LND has selective activity toward various tumors, and its toxic and side effects do not overlap when combined with other chemotherapeutic drugs. Therefore, LND is commonly used as a chemosensitizer to enhance the antitumor effects of chemotherapeutic drugs based on its disruption of energy metabolism relating to chemo- or radioresistance. In this review, we summarized the combination treatments of LND with several typical chemotherapeutic drugs and several common physical therapies, such as radiotherapy (RT), hyperthermia (HT), and photodynamic therapy (PDT), and discussed the underlying mechanisms of action. Meanwhile, the development of novel formulations of LND in recent years and the research progress of LND derivative adjudin (ADD) as an anticancer drug were also discussed. FAU - Huang, Yaxin AU - Huang Y AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Sun, Guohui AU - Sun G AUID- ORCID: 0000-0003-2259-5431 AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Sun, Xiaodong AU - Sun X AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Li, Feifan AU - Li F AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Zhao, Lijiao AU - Zhao L AUID- ORCID: 0000-0002-4876-323X AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Zhong, Rugang AU - Zhong R AD - Beijing Key Laboratory of Environment and Viral Oncology, College of Life Science and Chemistry, Faculty of Environment and Life, Beijing University of Technology, Beijing 100124, China. FAU - Peng, Yongzhen AU - Peng Y AD - National Engineering Laboratory for Advanced Municipal Wastewater Treatment & Reuse Technology, Engineering Research Center of Beijing, Beijing University of Technology, Beijing 100124, China. LA - eng GR - 82003599/National Natural Science Foundation of China/ GR - 21778011/National Natural Science Foundation of China/ GR - KM202110005005/Science and Technology General Project of Beijing Municipal Education Commission/ GR - 7184192/Beijing Natural Science Foundation/ GR - 2018-ZZ-022/Beijing Postdoctoral Research Foundation/ GR - ZZ2019-30/Beijing Postdoctoral Research Foundation/ GR - CIT&TCD20180308/the Great Wall Scholars Program of Beijing Municipal Education Commission/ GR - PXM2015_014204_500175/Science and Technology Key Project of Beijing Municipal Education Commission/ PT - Journal Article PT - Review DEP - 20201111 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7696079 OTO - NOTNLM OT - Lonidamine OT - chemotherapy OT - combination OT - energy metabolism OT - physical therapy OT - resistance COIS- The authors declare no conflict of interest. EDAT- 2020/11/15 06:00 MHDA- 2020/11/15 06:01 PMCR- 2020/11/11 CRDT- 2020/11/14 01:03 PHST- 2020/10/30 00:00 [received] PHST- 2020/11/09 00:00 [accepted] PHST- 2020/11/14 01:03 [entrez] PHST- 2020/11/15 06:00 [pubmed] PHST- 2020/11/15 06:01 [medline] PHST- 2020/11/11 00:00 [pmc-release] AID - cancers12113332 [pii] AID - cancers-12-03332 [pii] AID - 10.3390/cancers12113332 [doi] PST - epublish SO - Cancers (Basel). 2020 Nov 11;12(11):3332. doi: 10.3390/cancers12113332.