Disrupting cell adhesion to the extracellular matrix (ECM) 1 rapidly induces programmed cell death, a response that has been termed anoikis (1). Anoikis was first documented in normal epithelial cells and endothelial cells where it helps maintain a dynamic balance between cell turnover and survival (1, 2). Malignant tumor cells are often resistant to anoikis, enabling them to survive after detachment from the ECM and colonize a secondary site. Resistance to anoikis has been described in many types of human malignancies, including gastric cancer, mammary tumors, colon cancers, osteosarcomas, and lung carcinomas (3-7), but little is known about it in the progression of human oral squamous cell (SCC) carcinoma. Oral cancer is the sixth most common solid tumor, accounting for 5.5% of all malignancies worldwide (8). SCC accounts for 96% of all tumors of the oral cavity (9), and many patients with these tumors die from metastatic disease (10).What factors promote anchorage-independent survival and spread of tumor cells? One possibility is survival signals mediated through cell-cell contacts. One factor that promotes the survival of ECM-deprived SCC cells by such contact is the cadherin receptor family (11). A second possibility is the integrin receptor family, because integrins play a role in multiple steps in tumorigenesis, including cell spreading, invasion, and survival. Integrins are heterodimeric, cation-dependent cell membrane adhesion molecules that mediate cell-cell and cell-ECM interactions (12). In mammals, at least 16 ␣ and 8  subunits have been reported that combine into 22 different heterodimers, each with specific recognition and affinities for various ECM components or other cell-bearing adhesion molecules (13,14). Integrin expression patterns are often altered during tumor development. Metastasis requires changes in integrin expression. In SCC cells, substantial evidence demonstrates altered integrin expression in tumorigenesis compared with the native state. Alterations in the expression and function of integrins are also associated with anoikis (15, 16).One likely mechanism for integrin-mediated survival and resistance to anoikis is signal transduction through activation of intracellular tyrosine kinases, such as focal adhesion kinase (FAK). FAK is a non-receptor protein-tyrosine kinase that indirectly localizes to sites of integrin clustering through C-terminal domain-mediated interaction with integrin-associated proteins such as paxillin and talin (17). In vitro, its N-terminal domain binds to sequences in the cytoplasmic domain of  integrin subunits (18). Elevation of the phosphotyrosine content of FAK correlates directly with increased cell adhesion. Focal adhesion complexes formed in mouse fibroblasts plated on fibronectin have 2.5-fold higher FAK phosphorylation activity than cells plated on polylysine, where adherence is integrinindependent and the phosphotyrosine content of FAK is minimal (19). Tyrosine 397 is the major site for phosphorylation and catalytic activity of FAK both in vivo and...