PMID- 9525814 OWN - NLM STAT- MEDLINE DCOM- 19980520 LR - 20190909 IS - 0167-594X (Print) IS - 0167-594X (Linking) VI - 36 IP - 2 DP - 1998 Jan TI - Mechanism of action of lonidamine in the 9L brain tumor model involves inhibition of lactate efflux and intracellular acidification. PG - 149-57 AB - Malignant gliomas have been associated with a high rate of glycolytic activity which is believed necessary to sustain cellular function and integrity. Since lonidamine (LND) is believed to reduce tumor glucose utilization by inhibition of the mitochondrially-bound glycolytic enzyme hexokinase (HK), 31P magnetic resonance spectroscopy (MRS) was used to noninvasively follow the effects of LND on both tumor pH and the high-energy phosphate metabolites: ATP, phosphocreatine (PCr) and inorganic phosphate (Pi) in subcutaneous rat 9L gliosarcomas. 31P tumor spectra acquired in 5 min intervals pre- and post LND administration of 50 and 100 mg/kg, i.p. revealed an acidotic pH shift of -0.25 and -0.45 pH units, respectively within 30 min post administration. The ATP/Pi ratio of 9L tumors decreased to 40% of control and Pi levels increased to 280% of control over a 3 hr period. LND exerted no effect on tumor blood flow and mean arterial blood pressure. Brain and muscle metabolite levels and pH were also unaffected by LND. In vitro measurements of cultured 9L tumor cell intra- and extracellular lactate, pentose phosphate pathway (PPP) and hexokinase (HK) activities suggest that the mode of action of LND involves inhibition of lactate efflux and intracellular acidification. The selective reduction of tumor energy metabolites and pH by LND may be exploitable for sensitizing gliomas to radiation, chemotherapy or hyperthermia. FAU - Ben-Yoseph, O AU - Ben-Yoseph O AD - Department of Radiology, University of Michigan, Ann Arbor 48109-0648, USA. FAU - Lyons, J C AU - Lyons JC FAU - Song, C W AU - Song CW FAU - Ross, B D AU - Ross BD LA - eng GR - R01 CA44114/CA/NCI NIH HHS/United States GR - R29 CA59009/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Neurooncol JT - Journal of neuro-oncology JID - 8309335 RN - 0 (Antineoplastic Agents) RN - 0 (Indazoles) RN - 0 (Phosphorus Radioisotopes) RN - 33X04XA5AT (Lactic Acid) RN - U78804BIDR (lonidamine) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Brain Neoplasms/drug therapy/enzymology/*metabolism MH - Gliosarcoma/drug therapy/enzymology/*metabolism MH - Hydrogen-Ion Concentration MH - Indazoles/*pharmacology MH - Injections, Subcutaneous MH - Intracellular Fluid/*metabolism MH - Lactic Acid/*metabolism MH - Magnetic Resonance Spectroscopy MH - Male MH - Muscle Neoplasms MH - Neoplasm Transplantation MH - Phosphorus Radioisotopes MH - Rats MH - Rats, Inbred F344 MH - Thigh EDAT- 1998/04/03 00:00 MHDA- 1998/04/03 00:01 CRDT- 1998/04/03 00:00 PHST- 1998/04/03 00:00 [pubmed] PHST- 1998/04/03 00:01 [medline] PHST- 1998/04/03 00:00 [entrez] AID - 10.1023/a:1005819604858 [doi] PST - ppublish SO - J Neurooncol. 1998 Jan;36(2):149-57. doi: 10.1023/a:1005819604858.