Patients with metastatic cancer commonly have increased serum galectin-3 concentrations, but it is not known whether this has any functional implications for cancer progression. We report that MUC1, a large transmembrane mucin protein that is overexpressed and aberrantly glycosylated in epithelial cancer, is a natural ligand for galectin-3. Recombinant galectin-3 at concentrations (0.2-1.0 g/ml) similar to those found in the sera of patients with metastatic cancer increased adhesion of MUC1-expressing human breast ( Galectin-3 is one of 15 known members of the galectin family of naturally occurring galactoside-binding lectins that are expressed intracellularly and extracellularly by many cell types (1). Galectin-3 concentrations are increased up to 5-fold in the sera of patients with breast, gastrointestinal, or lung cancer (2). Moreover, higher galectin-3 concentrations are seen in the sera of patients with metastatic disease than in the sera of patients with localized tumors (2). The source of increased circulating galectin-3 in cancer patients is not clear, but it is probably generated by tumor cells as well as by peritumoral inflammatory and stromal cells (2). It is not known whether this increased circulating galectin-3 has any functional implications for cancer progression.Cytoplasmic galectin-3 is known to be anti-apoptotic (3), whereas nuclear galectin-3 promotes pre-mRNA splicing (4, 5). Cell surface galectin-3 is involved in various cell-cell and cellmatrix interactions (1, 6, 7) and enhances cancer cell adhesion to and invasion through basement membrane by interacting with extracellular matrix proteins such as fibronectin, collagen, or laminin (1,8,9). Galectin-3 expressed on the endothelial cell surface has been shown to promote the adhesion of breast cancer cells to endothelium by interaction with cancer-associated Thomsen-Friedenreich (galactose 1,3N-acetylgalactosamine ␣Ϫ (TF)) 2 antigen expressed by unknown cell surface molecules (10 -14). TF antigen is the core I structure of mucin-type O-linked glycans, but in its simplest nonsialylated, nonextended form it acts as an oncofetal antigen, and its presence/expression is increased in malignant and premalignant epithelia (15).MUC1 (also known as episialin and DF3) is a large (M r Ͼ 250,000) transmembrane mucin protein expressed on the apical surface of most normal secretory epithelia including those in the mammary gland, and the gastrointestinal, respiratory, urinary, and reproductive tracts. The MUC1 extracellular domain consists of variable numbers of 20-amino acid tandem repeat peptides (VNTR) that are rich in serines, threonines, and prolines. These tandem repeat domains are heavily glycosylated