The adhesion molecule L1 is expressed in primary melanomas and cutaneous metastases in contrast to melanocytic nevi and melanocytes, and is significantly associated with metastatic spread. Recent studies have demonstrated that in carcinomas L1 expression is associated with sustained activation of the extracellular signal-regulated kinase (ERK) pathway and upregulation of ERK-dependent, motility-and invasion-associated gene products including avb3 integrin. The objective of this study was to further investigate the role of the adhesion molecule L1 in melanoma progression, and to evaluate whether targeting the L1 adhesion molecule would have therapeutic effects against invasive melanoma growth. Using human melanoma cells from different stages of progression in monolayer and organotypic human skin culture mimicking the pathophysiological environment of cutaneous melanoma, we found that (1) L1 expression mostly correlates with melanoma progression and avb3 integrin expression, (2) overexpression of L1 in early radial growth phase melanoma cells promotes conversion from radial to vertical growth phase melanoma without upregulation of avb3 integrin expression, and (3) suppression of L1 function significantly reduces migration and invasion of melanoma cells, but does not completely block invasive melanoma growth. Altogether, L1 plays a critical role in melanoma invasion and progression and offers therapeutic potential in combination with conventional anticancer agents. ' 2006 Wiley-Liss, Inc.Key words: melanoma; L1; CD171 New strategies for treating melanoma are of utmost importance because malignant melanoma is a highly aggressive tumor with an inclination for metastasis and is resistant to current therapeutic concepts. Therefore, there is an urgent need to identify molecular targets for the development of novel treatment strategies.The cell adhesion molecule L1, a member of the immunoglobulin superfamily, is a 200-220 kDa transmembrane glycoprotein consisting of an extracellular region, containing 6 immunoglobulin-like domains followed by 5 fibronectin III-like repeats, a transmembrane region and a phylogenetically conserved cytoplasmic domain. L1 is expressed in neural cells, endothelial cells, certain epithelial cells, reticular fibroblasts and cells of lymphoid and myelomonocytic origin. 1 L1 expression has also been detected in several malignant tumors including colon carcinoma 2 and melanoma. 3 L1 can undergo homophilic L1-L1 binding as well as heterophilic binding to integrins including avb3 integrin, and functions not only as an adhesive molecule but also as a signal-transducing receptor. 4 The cytoplasmic domain plays an important role in signal transduction and interactions with the cytoskeleton. 5 Thus, L1 can influence cell growth and migration in response to ligand binding and may favor invasive tumor growth. L1 is not detectable on melanocytes and melanocytic nevi, although it is expressed in primary melanomas and cutaneous metastases and correlates with av integrin expression. 6 Moreover, the expression...