TWIST is an important transcription factor during embryonic development and has recently been found to promote the epithelial-mesenchymal transition (EMT) phenomenon seen during the initial steps of tumor metastasis. To further investigate the potential targets and interacting genes of TWIST in human gastric cancer, we performed microarray analysis to compare the gene expression profiles in HGC-27 cells, with or without small interfering RNA (siRNA)-mediated depletion of TWIST. Our results showed that NF1, RAP1A, SRPX, RBL2, PFDN4, ILK, F2R, ERBB3, and MYB were up-regulated, whereas AKR1C2, FOS, GDF15, NR2F1, ATM, and CTPS were down-regulated after TWIST depletion. Moreover, TWIST-depleted HGC-27 cells showed a reversal of the morphologic and molecular changes associated with EMT. These results provide evidence that TWIST regulates the expression of several genes involved in the differentiation, adhesion, and proliferation of gastric cancer cells. The role of TWIST in the development of certain types of gastric cancer is discussed. Anat Rec, 292:262-270, 2009Rec, 292:262-270, . 2008 Wiley-Liss, Inc.Key words: TWIST; siRNA; epithelial-mesenchymal transition; gastric cancer; microarray Epithelial-mesenchymal transition (EMT) is pivotal for morphogenesis and in the transformation of early stage tumors into invasive malignancies (Kang and Massague, 2004). Cells undergoing EMT-characterized by the loss of cell polarity, cell-basement membrane adhesion, and cell-cell contacts-lose expression of epithelial markers (such as E-cadherin and catenin) and acquire expression of mesenchymal components (such as vimentin, fibronectin, and N-cadherin). Recent studies have shown that TWIST is one of the main regulatory proteins that promote EMT and the metastatic phenotype of cells (Karreth and Tuveson, 2004). Increased levels of TWIST are found in a wide range of cancers and are positively correlated with tumor aggressiveness and poor survival rates (Yang et al., 2004), suggesting a general role for TWIST in cancer development.TWIST is a basic helix-loop-helix (bHLH) transcription regulator that can form homodimers or heterodimers with partners that also contain an HLH domain. Depending on the protein partners in the dimers, these complexes play distinct roles in regulating the expression of downstream genes, acting either as activators or repressors. For example, TWIST homodimers can bind to the E-box of the E-cadherin promoter, repressing its expression, whereas their binding to the E-box of the Akt2 gene enhances its expression (Cheng et al