Epithelial-mesenchymal transition (EMT) is a crucial event in wound healing, tissue repair, and cancer progression in adult tissues. Transforming growth factor (TGF)-b induces EMT in mouse epithelial cells. During prolonged treatment, TGF-b successively induces myofibroblastic differentiation with increased expression of myofibroblast marker proteins, including smooth muscle a actin and calponin. We recently showed that fibroblast growth factor-2 prevented myofibroblastic differentiation induced by TGF-b, and transdifferentiated the cells to those with much more aggressive characteristics (enhanced EMT). To identify the molecular markers specifically expressed in cells undergoing enhanced EMT induced by the combination of TGF-b and fibroblast growth factor-2, we carried out a microarray-based analysis and found that integrin a3 (ITGA3) and Ret were upregulated. Intriguingly, ITGA3 was also overexpressed in breast cancer cells with aggressive phenotypes and its expression was correlated with that of dEF-1, a key regulator of EMT. Moreover, the expression of both genes was downregulated by U0126, a MEK 1 ⁄ 2 inhibitor. Therefore, ITGA3 is a potential marker protein for cells undergoing enhanced EMT and for cancer cells with aggressive phenotypes, which is positively regulated by dEF-1 and the MEK-ERK pathway. (Cancer Sci 2013; 104: 1189-1197 E pithelial-mesenchymal transition (EMT) serves as a switch directing polarized epithelial cells to transdifferentiate into mesenchymal cells. During the processes of embryonic development, wound healing, and reorganization of adult tissues, epithelial cells have been shown to lose their epithelial polarity and acquire mesenchymal phenotypes.(1) Furthermore, EMT is involved in the process of tumor-cell invasion, which also includes the loss of cell-cell interaction. Thus far, in most cases, EMT appears to be regulated by ECM components and soluble growth factors or cytokines. Of these, transforming growth factor-b (TGF-b) is considered to be the key inducer of EMT during physiological processes.(2) TGF-b is frequently and abundantly expressed in various tumors, and also induces EMT in cancer cells during cancer progression. Several extracellular signaling molecules, including Wnt, epidermal growth factor, fibroblast growth factor (FGF)-2, and tumor necrosis factor-a, cooperate with TGF-b to promote tumor invasion and metastasis as well as EMT. In addition, constitutively active Ras dramatically enhances TGF-binduced expression of Snail, a key mediator of EMT, whereas representative target genes of TGF-b are either unaffected or slightly inhibited by Ras signaling, leading to selective synergism between TGF-b and Ras as well as soluble factors in cancer progression. TGF-b has been found to induce EMT in normal mouse mammary epithelial NMuMG cells, and we recently showed that prolonged treatment of NMuMG cells with TGF-b induces the epithelial-myofibroblastic transition (EMyoT) with the expression of myofibroblast markers, smooth muscle a actin (a-SMA), and calponin.(4) During T...