RT Journal Article SR Electronic T1 T2R bitter taste receptors regulate apoptosis and may be associated with survival in head and neck squamous cell carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.05.17.444527 DO 10.1101/2021.05.17.444527 A1 Ryan M. Carey A1 Derek B. McMahon A1 Karthik Rajasekaran A1 Indiwari Gopallawa A1 Jason G. Newman A1 Devraj Basu A1 Elizabeth A. White A1 Robert J. Lee YR 2021 UL http://biorxiv.org/content/early/2021/05/17/2021.05.17.444527.abstract AB Better management of head and neck squamous cell carcinomas (HNSCCs) requires a clearer understanding of tumor biology and disease risk. Bitter taste receptors (T2Rs) have been studied in several cancers, including thyroid, salivary, and GI, but their role in HNSCC has not been explored. We found that HNSCC patient samples and cell lines expressed functional T2Rs on both the cell and nuclear membranes. Bitter compounds, including bacterial metabolites, activated T2R-mediated nuclear Ca2+ responses leading to mitochondrial depolarization, caspase activation and ultimately apoptosis. Buffering nuclear Ca2+ elevation blocked caspase activation. Furthermore, increased expression of T2Rs in HNSCCs from The Cancer Genome Atlas (TCGA) is associated with improved overall survival. This work suggests that T2Rs are potential biomarkers to predict outcomes and guide treatment selection, may be leveraged as therapeutic targets to stimulate tumor apoptosis, and may mediate tumor-microbiome crosstalk in HNSCC.Competing Interest StatementThe authors have declared no competing interest.