Lysophosphatidylserine (LysoPS) is a lysophospholipid, its generating enzyme, phosphatidylserinespecific phospholipase A1 (PS-PLA1), reportedly plays roles in stomach and colon cancers. Here, we examined the potential roles of LysoPS in hepatocellular carcinoma (HCC). The ninety-seven HCC patients who underwent surgical treatment were enrolled in this study and approved by the institutional review board. Among LysoPS-related enzymes and receptors, increased PS-PLA1 or LysoPS receptor 1 (LPS1) mRNA was observed in HCC tissues compared to non-HCC tissues. PS-PLA1 mRNA in HCC was associated with no clinical parameters, while LPS1 mRNA in HCC was correlated inversely with tumor differentiation. Furthermore, higher serum PS-PLA1 was observed in HCC patients compared to healthy control and correlated with PS-PLA1 mRNA in non-HCC tissues and with serum AST or ALT. Additionally, serum levels of PS-PLA1 were higher in HCC patients with HCV-related liver injury than in those with HBV or non-HBV-, non-HCV-related liver diseases. In conclusion, among LysoPS-related enzymes and receptors, PS-PLA1 and LPS1 mRNA were increased in HCC. Based on the correlation between the serum PS-PLA1 and the mRNA level of PS-PLA1 in non-HCC tissues, the liver may be the main source of serum PS-PLA1, and serum PS-PLA1 levels may be a useful marker for liver injury. Over the last two decades, lysophospholipids (LPLs) have been studied widely as biologically active molecules that play multiple roles in carcinogenesis, neurogenesis, vascular development and immunity 1-4. Among LPLs, the crucial roles of lysophosphatidic acid (LPA) and sphingosine 1-phosphate (S1P) have been extensively unveiled, exerting multiple cellular responses with G-protein coupled receptors (LPA1-6 and S1P1-5). We recently reported the involvement of LPA and S1P in the pathogenesis of hepatocellular carcinoma (HCC) and colon cancer 5-7. On the other hand, the evidence has been relatively scarce showing the actions and the clinical roles of other LPLs, such as lysophosphatidylglycerol, lysophosphatidylserine (LysoPS), lysophosphatidylinositol, lysophosphatidylethanolamine or lysophosphatidylcholine. Among these LPLs, we have been paying attention to LysoPS, the binding receptors of which were recently identified as LPS1 (GPR34), LPS2 (P2Y10) and LPS3 (GPR174) in humans and LPS2 L (A630033H20 or LPS2-like receptor) in rodents 8,9. LysoPS is known to affect several cellular responses, including mast cell degranulation 10,11 , lymphocyte proliferation 12 , fibroblast migration 13,14 and neurite outgrowth 15. Regarding its receptors, LPS1 is expressed in many tissues, mostly in mast cells 16 but it is not involved in the mast cell degranulation induced by LysoPS 17. The roles of LPS2 and LPS3 remain to be elucidated at present, but the expressions of which were reported in lymphoid organs for LPS2, LPS3 and in the spleen and thymus for LPS2 18,19. Among LysoPS receptors (LPSRs), the ectopic expression of LPS1 was reported in several solid tumors, such as stomach cancer 20 , with...