“…Based on the following reasons, we hypothesize that the expression of human METCAM/MUC18 (huMETCAM/ MUC18) is likely to play a role in the malignant progression of NPC: (a) the huMETCAM/MUC18 gene resides in the region of the chromosome11q22-23, in which hyper-methylation is associated with the NPC development during the progression of NPC (Lung et al, 2004;Lung et al, 2005), and (b) HuMETCAM/MUC18, a cell adhesion molecule (CAM) in the immunoglobulin gene super family, which is expressed in several normal tissues, such as hair follicular cells, smooth muscle cells, endothelial cells, cerebellum, normal mammary epithelial cells, basal cells of the lung, activated T cells, and intermediate trophoblast (Shih, 1999), has been evident in playing very intriguing roles in the progression of several epithelial cancers (Shih, 1999;Wu, 2005). Over-expression of huMETCAM/MUC18 promotes the metastasis of melanoma (Xie et al, 1997;Schlag-bauerWadl et al, 1999;Shih, 1999;Wu, 2005;Wu et al, 2008), prostate cancer (Wu et al, 2001a;Wu et al, 2001b;Wu, 2004;Wu et al, 2004;Wu et al, 2005;Wu et al, 2011), angiosarcomas (Wu, 2005), osteosarcoma (McGary et al, 2003), and breast cancer (Zeng et al, 2011;Zeng et al, 2012a;Zeng et al, 2012b). On the contrary, under-expression correlates with the malignant progression of haemangioma (Li et al, 2003) and over-expression of huMETCAM/MUC18 suppresses the tumorigenesis of one mouse melanoma cell line and human ovarian cancer cell lines in an immunodeficient mouse model (Wu, 2012), suggesting that its expression may suppress the tumorigenesis of these cancers and perhaps other cancer types (Wu, 2012).…”