Aerobic glycolysis is an important feature of
cancer cells. In recent years,
lactate dehydrogenase A (
LDH-A) is emerging as a novel therapeutic target for
cancer treatment. Seeking
LDH-A inhibitors from natural resources has been paid much attention for
drug discovery. Spatholobus suberectus (SS) is a common herbal medicine used in China for treating blood-stasis related diseases such as
cancer. This study aims to explore the potential medicinal application of SS for
LDH-A inhibition on
breast cancer and to determine its bioactive compounds. We found that SS manifested apoptosis-inducing, cell cycle arresting and anti-
LDH-A activities in both
estrogen-dependent human MCF-7 cells and
estrogen-independent MDA-MB-231 cell. Oral herbal extracts (1 g/kg/d) administration attenuated
tumor growth and
LDH-A expression in both
breast cancer xenografts. Bioactivity-guided fractionation finally identified
epigallocatechin as a key compound in SS inhibiting
LDH-A activity. Further studies revealed that
LDH-A plays a critical role in mediating the apoptosis-induction effects of
epigallocatechin. The inhibited
LDH-A activities by
epigallocatechin is attributed to disassociation of Hsp90 from HIF-1α and subsequent accelerated HIF-1α
proteasome degradation. In vivo study also demonstrated that
epigallocatechin could significantly inhibit
breast cancer growth, HIF-1α/
LDH-A expression and trigger apoptosis without bringing toxic effects. The preclinical study thus suggests that the potential medicinal application of SS for inhibiting
cancer LDH-A activity and the possibility to consider
epigallocatechin as a lead compound to develop
LDH-A inhibitors. Future studies of SS for
chemoprevention or chemosensitization against
breast cancer are thus warranted.