RT Journal Article T1 Melatonin Targets Metabolism in Head and Neck Cancer Cells by Regulating Mitochondrial Structure and Function A1 Guerra-Librero, Ana A1 Fernandez-Gil, Beatriz I. A1 Florido, Javier A1 Martinez-Ruiz, Laura A1 Rodríguez-Santana, César A1 Shen, Ying-Qiang A1 García-Verdugo, José M. A1 López-Rodríguez, Alba A1 Rusanova, Iryna A1 Quiñones-Hinojosa, Alfredo A1 Acuña-Castroviejo, Darío A1 Marruecos, Jordi A1 De Haro, Tomás A1 Escames, Germaine K1 Melatonin K1 Head and neck cancer cells K1 Mitochondria K1 OXPHOS K1 Glycolysis K1 Mitophagy K1 Apoptosis K1 Free radicals K1 Melatonina K1 Mitocondrias K1 Glucólisis K1 Mitofagia K1 Radicales libres K1 Neoplasias de cabeza y cuello AB Metabolic reprogramming, which is characteristic of cancer cells that rapidly adapt to the hypoxic microenvironment and is crucial for tumor growth and metastasis, is recognized as one of the major mechanisms underlying therapeutic resistance. Mitochondria, which are directly involved in metabolic reprogramming, are used to design novel mitochondria-targeted anticancer agents. Despite being targeted by melatonin, the functional role of mitochondria in melatonin's oncostatic activity remains unclear. In this study, we aim to investigate the role of melatonin in mitochondrial metabolism and its functional consequences in head and neck cancer. We analyzed the effects of melatonin on head and neck squamous cell carcinoma (HNSCC) cell lines (Cal-27 and SCC-9), which were treated with 100, 500, and 1500 µM of melatonin for 1, 3, and 5 days, and found a connection between a change of metabolism following melatonin treatment and its effects on mitochondria. Our results demonstrate that melatonin induces a shift to an aerobic mitochondrial metabolism that is associated with changes in mitochondrial morphology, function, fusion, and fission in HNSCC. We found that melatonin increases oxidative phosphorylation (OXPHOS) and inhibits glycolysis in HNSCC, resulting in increased ROS production, apoptosis, and mitophagy, and decreased cell proliferation. Our findings highlight new molecular pathways involved in melatonin's oncostatic activity, suggesting that it could act as an adjuvant agent in a potential therapy for cancer patients. We also found that high doses of melatonin, such as those used in this study for its cytotoxic impact on HNSCC cells, might lead to additional effects through melatonin receptors. PB MDPI YR 2021 FD 2021-04-14 LK http://hdl.handle.net/10668/3992 UL http://hdl.handle.net/10668/3992 LA en NO Guerra-Librero A, Fernandez-Gil BI, Florido J, Martinez-Ruiz L, Rodríguez-Santana C, Shen YQ, et al. Melatonin Targets Metabolism in Head and Neck Cancer Cells by Regulating Mitochondrial Structure and Function. Antioxidants (Basel). 2021 Apr 14;10(4):603. DS RISalud RD Apr 9, 2025