Fibrin deposition and exudation of plasma fibrinogen (Fg) have long been recognized as hallmarks of inflammation, cardiovascular disease and neoplasia. The Fg-b 15-42 domain binds to the endothelial cell adhesion molecule, VE-cadherin, promoting endothelial cell proliferation, angiogenesis and leukocyte diapedesis. Furthermore, spontaneous blood-borne and lymphatic metastasis of some types of tumor emboli requires plasma fibrin(ogen); however, the molecular mechanisms by which this occurs are poorly understood. We sought to determine whether Fg-b 15-42 and VEcadherin binding interactions promote endothelial barrier permeability and breast cancer cell transendothelial migration (TEM) using transwell insert culture systems. Synthetic peptides containing/missing residues b 15-17 critical for In 1865, Armand Trousseau reported the observation that patients with an increased incidence of coagulopathies would later manifest visceral malignancies, which became known as Trousseau's syndrome. Ironically, Trousseau diagnosed himself with his own syndrome in 1866 and died of gastric cancer the following year. Causal factors linked to the prothrombotic state of Trousseau's syndrome also facilitate cancer metastasis, including thrombin, tissue factor, selectins, platelets, endothelial cells (EC) and fibrin. 1 Deposition of fibrinogen (Fg) 5 and fibrin commonly occurs within the stroma of most solid tumors, 2 and elevated levels of plasma Fg and fibrin degradation products (FDPs) correlate positively with lymph node involvement and metastasis of colon, ovarian, lung and breast cancers. 1 Studies by Degen and co-workers 3-5 have firmly established that plasma fibrin(ogen) and platelets play critical roles in spontaneous cancer metastasis through both the circulation and lymphatic systems, in part by protecting tumor cells from natural killer cell-mediated lysis.Expression of interleukin (IL)-6 during systemic inflammation upregulates expression of specific plasma proteins in the liver, including Fg. 6 Excessive fibrin deposition is accompanied by local expression of proinflammatory mediators, vascular leakage, and inflammatory cell recruitment and activation leading to amplification of the inflammatory response. 2,7,8 Residues 15-42 on the b chain of Fg have been implicated in functional attributes ascribed to fibrin(ogen). Although the primary structure of fibrinopeptide B (FPB) is poorly conserved across species, the fibrin b 15-42 domain is highly conserved, implying evolutionary conservation of function. 9 The b 15-42 region constitutes a cryptic domain in soluble Fg that is exposed in fibrin after thrombin cleavage. 10 Newly exposed residues, b15-GHRP-18, promote lateral aggregation of fibrin monomers during polymerization and insoluble clot formation in secondary hemostasis. 10 Furthermore, exposure of the b 15-42 domain mediates fibrin binding to EC surfaces, 11 promotes EC adhesion and spreading, 12 and stimulates proliferation of EC, fibroblasts and cancer cells. 13,14 Cadherins mediate homophilic cell-cell adhesion...