The combination of docetaxel, cisplatin, and fluorouracil significantly enhances the survival of head and neck cancer patients compared to cisplatin and fluorouracil. We hypothesized that docetaxel may affect invasiveness of the head and neck cancer cells in addition to its tumor-killing effect. Two different head and neck cancer cell lines (HEp-2 and Ca9-22) were treated with docetaxel at IC 10 and IC 50 concentrations. Cell migration and invasive growth was evaluated by wound healing assay and three-dimensional (3D) culture of multicellular tumor spheroids, respectively. Expression levels of possible downstream effectors for cell migration ⁄ invasiveness were measured by immunoblotting in conditions with or without docetaxel. Docetaxel, but not cisplatin, suppressed filopodia formation compared with no treatment (control) condition. Consistent with this, docetaxel suppressed two-dimensional (2D) cell migration and 3D cell invasion compared with control or cisplatin. Only docetaxel treated cells exhibited thick tubulin bundle and had lower activity of Cdc42, a member of the Rho family of small GTPases. In conclusion, Docetaxel treatment suppressed migration and invasiveness of head and neck cancer cells in vitro, which is likely to be mediated by regulating Cdc42 activity. (Cancer Sci 2010; 101: 1382-1386 S quamous cell carcinoma (SCC) of the head and neck accounts for 5% of cancers in adults worldwide.(1) The disease is potentially curable at an early stage, but most patients present with locally advanced disease. Only 30-50% of patients with locally advanced disease live for 3 years after surgery and radiation therapy. Locoregional recurrences or distant metastases develop in 40-60% of them.(2-5) Moreover, radical resection of the tumor, which results in loss of the larynx, severely compromises quality of life in such patients. In order to increase the survival rate and preserve voice and swallowing function over surgery and radiation alone, various supplementary chemotherapy regimens have been developed. (6)(7)(8) Recently it was reported that the combination of docetaxel, cisplatin, and fluorouracil (TPF) followed by chemoradiotherapy significantly enhances survival of head and neck cancer patients compared to cisplatin and fluorouracil (PF) followed by chemoradiotherapy.(9) Estimates of overall survival at 3 years were 62% in the TPF and 48% in the PF groups. It was also reported that incidence of distant metastasis is lower in the TPF (5% vs 9%), although it does not reach statistical significance. We therefore hypothesized that docetaxel may affect migration and invasiveness of the head and neck cancer cells. The mechanism of antitumor effect of the taxanes, such as docetaxel is thought to be the stabilization of microtubules during mitosis, which leads to blockade of cell division and eventually cell death. However, the effect of docetaxel on cell invasiveness has not been evaluated in head and neck cancers. We demonstrate here that docetaxel inhibited migration of head and neck cancer cells in vitro, ...