MIA (melanoma inhibitory activity) protein, identified as a small 11 kDa protein highly expressed and secreted by malignant melanoma cells, plays an important functional role in melanoma development, progression and tumor cell invasion. Recent data describe a direct interaction of MIA protein with cell adhesion receptors integrin a 4 b 1 and integrin a 5 b 1 and extracellular matrix molecules. By modulating integrin activity MIA protein mediates detachment of melanoma cells from surrounding structures resulting in enhanced invasive and migratory potential. However, until today a detailed understanding of the processes of MIA function is missing. In this study, we show that after binding of MIA protein to integrin a 5 b 1 , MIA protein is internalized together with this cell adhesion receptor at the cell rear. This mechanism enables tumor cells to migrate in a defined direction as appropriate for invasion processes. Treatment of melanoma cells with PKC-inhibitors strongly reduced internalization of MIA protein. Endocytosis is followed by dissociation of MIA-integrin complexes. In acidic vesicles MIA protein is degraded while integrins are recycled. Treatment of melanoma cells with MIA inhibitory peptides almost completely blocked the MIA protein uptake into cells. As MIA protein has a major contribution to the aggressive characteristics of malignant melanoma in particular to formation of metastasis, it is important to elucidate the MIA functional mechanism in tumor cells to find novel therapeutic strategies in the fight against skin cancer. ' 2009 UICC Key words: melanoma; MIA; endocytosis; migration; integrin Malignant melanoma is characterized by aggressive local growth and early formation of metastasis, and accounts for 75 percent of deaths associated with skin cancer. Previously, melanoma inhibitory activity (MIA) has been identified as an 11 kDa protein strongly expressed and secreted by malignant melanoma cells but not expressed in melanocytes.1 Subsequent in vitro and in vivo experiments revealed that MIA protein plays an important functional role in melanoma development and cell invasion, 2 hence MIA expression levels parallel closely the capability of melanoma cells to form metastases in syngeneic animals.3,4 Increased MIA serum concentrations serve as a reliable clinical tumor marker to detect and monitor metastatic diseases in patients with malignant melanomas. 1,5,6 The three-dimensional structure of the protein was solved by multidimensional nuclear magnetic resonance (NMR) 7-9 and Xray crystallography techniques. 10 Corresponding data indicate that MIA defines a novel type of secreted protein: the MIA protein family, consisting of MIA and the homologous proteins OTOR, MIA-2 and TANGO (MIA-3). The MIA protein family is the first family of secreted proteins comprising an SH3 domain-like fold in solution.11 Furthermore, phage display experiments and NMR spectra revealed that MIA protein interacts with peptides matching to extracellular matrix proteins including human fibronectin type III repeats and la...