Alkylphosphocholines are a new class of anticancer agents. The mechanisms by which these drugs display their antitumor activities are not known. In this work, we show that erucylphosphohomocholine, a new antineoplastic compound, significantly decreased ATP synthesis in isolated rat liver mitochondria at a concentration of 50 M or higher via permeabilization of the inner membrane. At a concentration of 25 M, it induced a moderate swelling of mitochondria, a slight decrease of the inner membrane potential, and an increase in state 4 respiration without an essential influence on state 3 respiration or the outer membrane permeability to cytochrome c. We found that cyclosporin A did not prevent mitochondrial swelling induced by 25-100 M erucylphosphohomocholine. Moreover, cyclosporin A induced a fast drop of the inner membrane potential in the presence of 25-50 M erucylphosphohomocholine that seems to be due to a strong synergistic inhibition of the respiratory activity. The ratio of uncoupled to state 3 respiration rates increased from 1.3 ؎ 0.1 with 25 M erucylphosphohomocholine and from 1.5 ؎ 0.1 with 1 M cyclosporin A to 4.5 ؎ 0.3 in the presence of both drugs. On the other hand, oligomycin or cyclosporin A protected certain cancer cell lines against erucylphosphohomocholine-induced apoptosis. This protection might be related to a prevention of cellular ATP hydrolysis by permeabilized mitochondria and to the inhibition of the classical permeability transition pore, respectively. Our findings provide new insight into the mechanisms by which these unusual alterations of mitochondria might be involved in anticancer activity of alkylphosphocholines.Alkylphosphocholines are a new class of antitumor agents, which target biomembranes and induce cancer cell apoptosis (1-3). Erucylphosphohomocholine (ErPC3), 2 one of the most effective alkylphosphocholines, has been shown to be a promising preclinical anticancer agent (4 -7). The precise mechanisms of antineoplastic activity of alkylphosphocholines are unknown. It has been found that they are working through p53-independent pathways (2, 8) involving mitochondrial alteration, cytochrome c release, and caspase-3 activation (9). Our previous studies have shown that the pro-apoptotic activity of ErPC3 is associated with an increased production of reactive oxygen species (10) and might be blocked by ligands of the peripheral-type benzodiazepine receptor (11), which is located in the outer membrane of mitochondria in close proximity to the voltage-dependent anion channel (12).In this work, we have found that in addition to pro-apoptotic activities, ErPC3 is also able to decrease ATP synthesis in isolated rat liver mitochondria. Our data showed that the ErPC3-mediated decrease of ATP synthesis involves a direct cyclosporin A (CsA)-insensitive permeabilization of the inner membrane. We have also discovered an unusual synergistic inhibition of ADP-dependent respiration of mitochondria in the presence of both CsA and ErPC3. The mechanism of this effect does not seem to be directly ...