HCT-8 colon cancer cells secreted heat shock protein 90␣ (HSP90␣) and had increased invasiveness upon serum starvation. The concentrated conditioned medium of serum-starved HCT-8 cells was able to stimulate the migration and invasion of non-serum-starved cells, which could be prevented by treatment with an anti-HSP90␣ antibody. Recombinant HSP90␣ (rHSP90␣) also enhanced HCT-8 cell migration and invasion, suggesting a stimulatory role of secreted HSP90␣ in cancer malignancy. HSP90␣ binding to CD91␣ and Neu was evidenced by the proximity ligation assay, and rHSP90␣-induced HCT-8 cell invasion could be suppressed by the addition of anti-CD91␣ or anti-Neu antibodies. Via CD91␣ and Neu, rHSP90␣ selectively induced integrin ␣ V expression, and knockdown of integrin ␣ V efficiently blocked rHSP90␣-induced HCT-8 cell invasion. rHSP90␣ induced the activities of ERK, PI3K/Akt, and NF-B p65, but only NF-B activation was involved in HSP90␣-induced integrin ␣ V expression. Additionally, we investigated the serum levels of HSP90␣ and the expression status of tumor integrin ␣ V mRNA in colorectal cancer patients. Serum HSP90␣ levels of colorectal cancer patients were significantly higher than those of normal volunteers (p < 0.001). Patients with higher serum HSP90␣ levels significantly exhibited elevated levels of integrin ␣ V mRNA in tumor tissues as compared with adjacent non-tumor tissues (p < 0.001). Furthermore, tumor integrin ␣ V overexpression was significantly correlated with TNM (Tumor, Node, Metastasis) staging (p ؍ 0.001).Heat shock protein 90␣ (HSP90␣) 2 is a molecular chaperone that aids in proper protein folding, maturation, and intracellular trafficking of numerous proteins (1). Thus far, more than 100 proteins have been identified that are regulated by HSP90␣, including Akt, Neu/Her-2 (ErbB2), HIF-1␣, Bcr-Abl, Raf-1, and mutated p53 (2). Many of these proteins are important mediators of signal transduction and cell cycle control and are also involved in the development and progression of cancer cells. Increasing evidence has suggested HSP90␣ as a novel therapeutic target. By inhibiting its chaperone activity, many HSP90␣ inhibitors cause the destabilization and eventual degradation of client proteins, and therefore, exhibit potent in vitro and in vivo anti-cancer activities (3). Among them, 17-allylamino-17-demethoxygeldanamycin is a first-in-class HSP90␣ inhibitor and is currently in phase II clinical trials. Nevertheless, most studies regarding HSP90␣ have focused on its function as a cytosolic chaperone; the secretion of HSP90␣ has been less well studied until recently.HSP90␣ is not only expressed in the cytoplasm, but it is also localized on the cell surface (4 -6). Through an interaction with the extracellular domain of Neu/Her-2, surface HSP90 is involved in heregulin-induced Neu/Her-2 activation and signaling, leading to cytoskeletal rearrangements and migration and invasion of breast cancer cells (7). Recent studies have shown that HSP90 could be secreted by keratinocytes, nonsmall cell lung cancer CL...