Selectin ligands are crucial components in the interaction between endothelial cells and extravasating cancer cells and, thus, play an important role in metastasis formation. Headand-neck squamous cell carcinoma (HNSCC) variants expressing high levels of E48, a human Ly-6 protein (E48 hi ), expressed higher levels of the fucose-generating FX enzyme and of the fucosylated E-selectin ligand sLe a than cells expressing low levels of E48 (E48 lo ). Signaling through E48 upregulated expression levels of these molecules in HNSCC. Head-and-neck squamous cell carcinoma (HNSCC) is a major health problem. About 500,000 new cases are diagnosed annually worldwide. 1,2 Despite advances made in the diagnosis and treatment of HNSCC during the last decades, the treatment efficay and associated morbidity as well as the 5-year survival rate have only marginally improved. 3,4 However, the type of relapse is gradually shifting from locoregional recurrence to distant metastasis. 1 It is therefore critically important to develop novel treatment modalities. Advancement in the development of new forms of therapy depends to a large extent on the availability of additional information on and a profound understanding of the molecular and cellular mechanisms involved in HNSCC carcinogenesis and progression. There is already ample information on the genetic alterations in HNSCC, including mutation of p53, 5 amplification of PRAD-1 (chromosome 11q13) 6 and frequent LOH on 9p, 3p, 17p, 8p, 13q and 18q. 7 These alterations characterize specific histopathologic stages of HNSCC. However, the molecular mechanisms involved in lymphogenic and hematogenic metastasis formation remain unknown. These parameters obviously determine the prognosis of the disease.MAb E48 was 1 of several developed to detect and treat minimal residual HNSCC following primary treatment. 8 It recognizes an outer membrane antigen, expressed by HNSCC. This antigen was characterized by cDNA cloning 9 and proved to be a GPIanchored membrane protein expressed by squamous cells. E48 is highly (nearly 70%) homologous to the murine ThB protein, a member of the Ly-6 gene family. 9 -11 E48 maps on human chromosome 8q24, 9 the syntenic locus of mouse chromosome 15E, to which the mouse Ly-6 gene family has been mapped. 11 Whereas both E48 and ThB are expressed on keratinocytes of squamous epithelia, 9 they differ in lymphocyte expression. ThB is expressed by mouse lymphocytes, whereas E48 is not expressed by human lymphocytes. 12 The function of E48 on keratinocytes of squamous epithelia remains unclear, though it might be involved in cellular adhesion. 9 Shortly after the cloning of cDNA encoding the E48 antigen, several additional human Ly-6 genes were cloned. [13][14][15][16][17] Our laboratory reported previously on a linkage between the overexpression of certain Ly-6 proteins on mouse tumor cells and a high-malignancy phenotype of such cells. 18 -20 In view of the association of Ly-6 with a high-malignancy phenotype of mouse tumors, it was of interest to study the role, if any, pla...