Breast cancer metastasis to bone represents a devastating complication of advanced breast cancer, frequently resulting in significant increases in morbidity and mortality. An understanding of the mechanisms that govern breast cancer metastasis at the molecular level should lead to more effective therapies. Recently, the kringle 1 domain of human hepatocyte growth factor (HGFK1) was identified as a candidate metastasis suppressor gene. Here, we investigated whether HGFK1 is a key regulator of breast cancer bone metastasis. Of the 193 human breast carcinoma tissue samples examined, HGFK1 expression was relative higher in 82 (42.4%) by western blot and in 84 (43.5%) by quantitative real-time PCR. The higher expression of HGFK1 was significantly associated with a better prognostic value (Po0.001) and inversely correlated with bone metastasis (P ¼ 0.003). The efficacy of adeno-associated virus carrying HGFK1 (AAV-HGFK1) in osteolytic bone metastasis was then evaluated using an in vivo bone metastasis model. AAV-HGFK1 significantly inhibited osteolytic bone metastasis and prolonged the survival of mice in this model (Po0.01). In vitro, HGFK1 expression resulted in significant anti-invasion effects, enhanced the phosphorylation of TAK1 (transforming growth factor-b-activated kinase 1), p38 MAPK (mitogen-activated protein kinase) and MAPKAPK2 (MAPK-activated protein kinase 2) and decreased the expression of receptor activator of nuclear factor-kB (RANK), which was abrogated by the p38 MAPK inhibitor SB203580. This study shows for the first time that HGFK1 significantly inhibits the metastasis of breast cancer to bone by activating the TAK1/p38 MAPK signaling pathway and inhibiting RANK expression. Thus, AAV-HGFK1 treatment represents a potential therapy for bone metastasis in breast cancer.Cancer Gene Therapy (2012) 19, 601--608; doi:10.1038/cgt.2012.38; published online 6 July 2012Keywords: AAV-HGFK1; bone metastasis; breast cancer; TAK1/p38 MAPK INTRODUCTION Breast cancer is the most common form of malignancy in women, with an incidence of 1 in 39 individuals worldwide, and is the second leading cause of cancer death in women after lung cancer.1 The metastasis of breast cancer to bone occurs in 480% of patients with advanced disease, causing morbidity, severe intractable bone pain, susceptibility to fractures, hypercalcemia and nerve compression syndrome, and resulting in a significant decline in the quality of life.2 Although significant progress has been made in the treatment of breast cancers, bone disseminated breast cancer is still a devastating complication of malignancy. Most of the evidence in the literature suggests that the primary mechanism for bone destruction is the stimulation of osteoclastic bone resorption. 3 The binding of receptor activator of nuclear factor-kB ligand (RANKL) to RANK on preosteoclasts or osteoclasts is essential for the maturation and activity of these cells. 4--7 The decoy receptor of RANKL (osteoprotegerin (OPG)) prevents binding of RANKL to RANK and thus inhibits osteoclast activ...