Cancer is a disease subject to both genetic and environmental influences. In this study, we used the RIP1-Tag2 (RT2) mouse model of islet cell carcinogenesis to identify a genetic locus that influences tumor progression to an invasive growth state. RT2 mice inbred into the C57BL/6 (B6) background develop both noninvasive pancreatic neuroendocrine tumors (PNET) and invasive carcinomas with varying degrees of aggressiveness. In contrast, RT2 mice inbred into the C3HeB/Fe (C3H) background are comparatively resistant to the development of invasive tumors, as are RT2 C3HB6(F1) hybrid mice. Using linkage analysis, we identified a 13-Mb locus on mouse chromosome 17 with significant linkage to the development of highly invasive PNETs. A gene residing in this locus, the anaplastic lymphoma kinase (Alk), was expressed at significantly lower levels in PNETs from invasion-resistant C3H mice compared with invasion-susceptible B6 mice, and pharmacological inhibition of Alk led to reduced tumor invasiveness in RT2 B6 mice. Collectively, our results demonstrate that tumor invasion is subject to polymorphic genetic control and identify Alk as a genetic modifier of invasive tumor growth.anaplastic lymphoma kinase | cancer modifier genes | malignant progression | pancreas cancer | transgenic mouse C ancer is a complex disease governed by environmental and genetic factors, including genetic mutations and polymorphisms that modulate cancer susceptibility (1). Although many investigations have focused on identifying factors that affect initial tumor development (2, 3), data from both human and mouse studies have demonstrated that genetic polymorphisms can modulate multiple aspects of tumorigenesis, such as tumor progression (4-6) and response to therapy (7).In this study, we investigated the effects of genetic background on tumor progression to an invasive growth state, motivated by a provocative observation that mice carrying the same oncogenic transgene but differing in genetic background developed tumors that were markedly distinctive in their invasiveness. This model, the RIP1-Tag2 (RT2) mouse model of islet cell carcinogenesis, develops multiple pancreatic neuroendocrine tumors (PNET) in a relatively synchronous and predictable multistage progression pattern by 12-14 wk of age owing to the expression of the SV40 T antigen oncoprotein (Tag) in the pancreatic β cells (8). The tumorigenesis pathway has predominantly been studied in RT2 mice inbred into the C57BL/6 (B6) background, and the PNETs that arise in this genetic context display a spectrum of invasive phenotypes and can be classified as noninvasive islet tumors (IT), focally invasive type-1 carcinomas (IC1), and broadly invasive type-2 carcinomas (IC2) (9). Surprisingly, we observed that when RT2 mice were inbred into a second strain, C3HeB/Fe (C3H), the tumors that arose were predominantly noninvasive, despite being otherwise similar in their tumorigenesis phenotype. The implication that the invasive phenotype was influenced by genetic background prompted our investigation...