Selectin-mediated adhesion of tumor cells to platelets, leukocytes, and endothelial cells may regulate their hematogenous dissemination in the microvasculature. We recently identified CD44 variant isoforms (CD44v) as functional P-, but not E-or L-, selectin ligands on colon carcinoma cells. Moreover, an ϳ180-kDa sialofucosylated glycoprotein(s) mediated selectin binding in CD44-knockdown cells. Using immunoaffinity chromatography and tandem mass spectrometry, we identify this glycoprotein as the carcinoembryonic antigen (CEA). Blot rolling assays and flow-based adhesion assays using microbeads coated with CEA immunopurified from LS174T colon carcinoma cells and selectins as substrate reveal that CEA possesses E-and L-, but not P-, selectin ligand activity. CEA on CD44-knockdown LS174T cells exhibits higher HECA-452 immunoreactivity than CEA on wild-type cells, suggesting that CEA functions as an alternative acceptor for selectin-binding glycans. The enhanced expression of HECA-452 reactive epitopes on CEA from CD44-knockdown cells correlates with the increased CEA avidity for E-but not L-selectin. Through the generation of stable knockdown cell lines, we demonstrate that CEA serves as an auxiliary L-selectin ligand, which stabilizes L-selectin-dependent cell rolling against fluid shear. Moreover, CEA and CD44v cooperate to mediate colon carcinoma cell adhesion to E-and L-selectin at elevated shear stresses. The novel finding that CEA is an E-and L-selectin ligand may explain the enhanced metastatic potential associated with tumor cell CEA overexpression and the supportive role of selectins in metastasis.Several lines of evidence suggest that selectins facilitate cancer metastasis and tumor cell arrest in the microvasculature by mediating specific interactions between selectin-expressing hosts cells and ligands on tumor cells. A variety of tumor cells, including colon carcinoma, express sialylated, fucosylated molecules that could be recognized by selectins (1-6). Enhanced expression of sialylated fucosylated glycans such as sialyl Le x and sialyl Le a on the tumor cell surface correlates with poor prognosis because of tumor progression and metastatic spread (7-10). Earlier studies hypothesized a simple model whereby E-selectin expressed on the surface of activated endothelial cells mediates binding of malignant cells, thereby facilitating their extravasation from the vasculature and the seeding of metastatic foci. This model was corroborated by ample experimental evidence. For instance, the ability of human colon carcinoma cell lines to form lung metastases in nude mice correlates with their adhesion to E-selectin and is markedly diminished by a soluble E-selectin fusion protein (11). Along these lines, the metastatic potential of colon carcinoma cell lines is attenuated by preincubating carcinoma cells with antisialyl Le a antibodies (10). The overexpression of E-selectin in the liver of a transgenic mouse model redirected the metastasis to this organ (12).During their transit into the circulatory system, tumor...