According to the multistep model of cell migration, chemokine receptor engagement (step 2) triggers conversion of rolling interactions (step 1) into firm adhesion (step 3), yielding transendothelial migration. We recently reported that glycosyltransferaseprogrammed stereosubstitution (GPS) of CD44 on human mesenchymal stem cells (hMSCs) creates the E-selectin ligand HCELL (hematopoietic cell E-selectin/L-selectin ligand) and, despite absence of CXCR4, systemically administered HCELL + hMSCs display robust osteotropism visualized by intravital microscopy. Here we performed studies to define the molecular effectors of this process. We observed that engagement of hMSC HCELL with E-selectin triggers VLA-4 adhesiveness, resulting in shear-resistant adhesion to ligand VCAM-1. This VLA-4 activation is mediated via a Rac1/Rap1 GTPase signaling pathway, resulting in transendothelial migration on stimulated human umbilical vein endothelial cells without chemokine input. These findings indicate that hMSCs coordinately integrate CD44 ligation and integrin activation, circumventing chemokinemediated signaling, yielding a step 2-bypass pathway of the canonical multistep paradigm of cell migration.T he successful application of adoptive cellular therapies, including stem cell-based regenerative medicine, critically depends on delivering relevant cells to target sites (1). Four distinct steps have been described in the process of cell migration: tethering and rolling mediated principally by the selectin group of adhesion molecules (step 1), chemokine receptor engagement and resultant G-protein-coupled "inside-out" activation of integrins (step 2), firm adhesion by integrins (step 3), culminating in transendothelial migration (TEM) (step 4) (2, 3). The conventional multistep paradigm holds that step 2 is critical for TEM, with engagement of discrete chemokine receptors on the cell surface triggering subsequent integrin-dependent steps. For recruitment of circulating cells to bone marrow, the CXCL12/CXCR4 chemokine axis plays a central role (4). Notably, specialized sinusoidal vessels constitutively express CXCL12 and E-selectin at sites where cells extravasate into the marrow parenchyma (5). Hematopoietic stem cells express multiple E-selectin ligands and abundant CXCR4 (1), and are thus equipped with relevant effectors of step 1 and step 2 events mediating osteotropism.Mesenchymal stem cells (MSCs) can differentiate into a variety of tissues (6, 7) and display potent immunomodulatory effects (8, 9). Although MSCs have shown therapeutic potential in skeletal diseases (10), myocardial injury, and immunologic disorders (11, 12), a critical limitation to the therapeutic use of MSCs is their modest tissue colonization upon systemic administration (13-15). Importantly, human MSCs (hMSCs) lack expression of various adhesion receptors that mediate step 1 interactions, particularly E-selectin ligands (16). Moreover, in contrast to hematopoietic cells, hMSCs display a rather limited repertoire of chemokine receptors, with variable eviden...