Human plasma membrane-associated sialidase (NEU3) specifically hydrolyzes gangliosides, and it is up-regulated in colon cancer and plays an essential role in the expression of malignant phenotypes. To clarify the role of NEU3 in tumorigenesis in vivo, we examined the susceptibility of NEU3 transgenic mice to induction of colonic aberrant crypt foci (ACF) by azoxymethane. Mice were injected with azoxymethane (i.p., 15 mg/kg/week) for 6 weeks, and 4 weeks later ACF had formed in the NEU3 transgenic mice significantly more than in the control wild-type mice. Enhanced phosphorylation of epidermal growth factor (EGF) receptor, Akt and ERK and up-regulation of Bcl-xL protein were observed in the transgenic colon mucosa, but no changes were found in cell proliferation, suggesting that the increased ACF formation is due to suppression of apoptosis. Immunohistological analysis with anti-cleaved caspase 3 antibody showed an actual reduction in apoptotic cells in the transgenic mucosa at 6 h after the first azoxymethane injection, when apoptosis in the colonic crypt occurs. Consistent with our previous observations of human colon cancer, thin-layer chromatography of the gangliosides from the transgenic colon mucosa revealed decreased GM3 and increased lactosylceramide as compared to those from the control mucosa, probably because of catalysis of gangliosides by NEU3. The results of this study provide the first evidence that NEU3 essentially increases azoxymethane-induced ACF formation in colon mucosa by suppression of apoptosis, possibly via activation of the EGF signaling pathway, and thus indicate that up-regulation of NEU3 is important to the promotion stage of colorectal carcinogenesis in vivo. (Cancer Sci 2009; 100: 588-594) C olorectal carcinogenesis is thought to occur in several steps that lead from normal mucosa to carcinoma. Aberrant crypt foci (ACF) with dilated irregular luminal openings and thicker epithelial linings are the earliest identifiable mucosal abnormalities in carcinogen-treated rodents and in humans harboring colonic cancer lesions. Formation of ACF is thought to be a precursor of colon cancer.(1-3) Epidermal growth factor receptor (EGFR) signaling is activated in human colon ACF, and expression of related molecules, including proliferating cell nuclear antigen (PCNA), tumor growth factor (TGF)-α, EGFR, and cyclo-oxygenase-2 (COX-2), is increased in hyperproliferative ACF.(4) Azoxymethane (AOM), a DNA-alkylating reagent, is often used to induce the formation of ACF in rodents as an experimental model of colonic tumorigenesis in the premalignant phase. AOM is metabolized to methylazoxymethanol by P450 in the liver, and bacterial flora in the intestine activates methylazoxymethanol to methyldiazonium, which exerts colonotropic mutagenicity.(5) In AOM-induced ACF, an increase of c-fos, decrease in c-myc and hexosamidase, and mutation of the k-ras, APC, and β-catenin genes are observed. (6) Sialic acids have been shown to play a role in various biological processes by influencing the conformation of gl...