RT Journal Article T1 Melatonin drives apoptosis in head and neck cancer by increasing mitochondrial ROS generated via reverse electron transport. A1 Florido, Javier A1 Martinez-Ruiz, Laura A1 Rodriguez-Santana, Cesar A1 Lopez-Rodriguez, Alba A1 Hidalgo-Gutierrez, Agustin A1 Cottet-Rousselle, Cecile A1 Lamarche, Frederic A1 Schlattner, Uwe A1 Guerra-Librero, Ana A1 Aranda-Martinez, Paula A1 Acuña-Castroviejo, Darío A1 Lopez, Luis C A1 Escames, Germaine K1 apoptosis K1 head and neck cancer cells K1 melatonin K1 mitochondria K1 oxidative damage K1 reactive oxygen species K1 reverse electron transport AB The oncostatic effects of melatonin correlate with increased reactive oxygen species (ROS) levels, but how melatonin induces this ROS generation is unknown. In the present study, we aimed to elucidate the two seemingly opposing actions of melatonin regarding its relationship with free radicals. We analyzed the effects of melatonin on head and neck squamous cell carcinoma cell lines (Cal-27 and SCC-9), which were treated with 0.5 or 1 mM melatonin. We further examined the potential effects of melatonin to induce ROS and apoptosis in Cal-27 xenograft mice. Here we report that melatonin mediates apoptosis in head and neck cancer by driving mitochondrial reverse electron transport (RET) to induce ROS production. Melatonin-induced changes in tumoral metabolism led to increased mitochondrial activity, which, in turn, induced ROS-dependent mitochondrial uncoupling. Interestingly, mitochondrial complex inhibitors, including rotenone, abolished the ROS elevation indicating that melatonin increased ROS generation via RET. Melatonin also increased membrane potential and CoQ10 H2 /CoQ10 ratio to elevate mitochondrial ROS production, which are essential conditions for RET. We found that genetic manipulation of cancer cells with alternative oxidase, which transfers electrons from QH2 to oxygen, inhibited melatonin-induced ROS generation, and apoptosis. RET restored the melatonin-induced oncostatic effect, highlighting the importance of RET as the site of ROS production. These results illustrate that RET and ROS production are crucial factors in melatonin's effects in cancer cells and establish the dual effect of melatonin in protecting normal cells and inducing apoptosis in cancer cells. PB Wiley-Blackwell Publishing, Inc. YR 2022 FD 2022-08-16 LK http://hdl.handle.net/10668/20000 UL http://hdl.handle.net/10668/20000 LA en NO Florido J, Martinez-Ruiz L, Rodriguez-Santana C, López-Rodríguez A, Hidalgo-Gutiérrez A, Cottet-Rousselle C, et al. Melatonin drives apoptosis in head and neck cancer by increasing mitochondrial ROS generated via reverse electron transport. J Pineal Res. 2022 Oct;73(3):e12824 NO This study was funded by grants from the MCIN/AEI/10.13039/501100011033, Spain, and the ERDF (SAF2017-85903-P, PID2020-115112RB-I00), from the Consejería de Innovación, Ciencia y Empresa, Junta de Andalucía (P07- CTS- 03135, P10- CTS- 5784, and CTS- 101), and from the University of Granada (Grant “UNETE,” UCE-PP2017-05), Spain. J. F. and L. M. are recipients of FPU fellowships from the Ministerio de Educación Cultura y Deporte, Spain.Some experiments on mitochondrial function were supported by the Institut Universitaire de France (to U. S.). Finally, we wish to thank San Francisco Edit (San Francisco) for proofreading the paper. DS RISalud RD Apr 6, 2025