Purpose: CMTM5 (CKLF-like MARVEL transmembrane domain containing member 5) is located at 14q11.2, a locus associated with multiple cancers. It has six RNA splicing variants with CMTM5-v1as the major one.We explored its expression pattern in normal tissues and tumor cell lines, as well as its functions in carcinoma cells. Experimental Design: We evaluated CMTM5 expression by semiquantitative reverse transcription-PCR (RT-PCR) in normal tissues and carcinoma cell lines of cervical, breast, nasopharyngeal, lung, hepatocellular, esophageal, gastric, colon, and prostate. We further examined CMTM5 promoter methylation in these cell lines. We also analyzed CMTM5 expression after 5-aza-2 ¶-deoxycytidine treatment and genetic demethylation and the functional consequences of restoring CMTM5 in HeLa and PC-3 cells. Results: CMTM5-v1is broadly expressed in human normal adult and fetal tissues, but undetectable or down-regulated in most carcinoma cell lines. Its promoter methylation was detected in virtually all the silenced or down-regulated cell lines. The silencing of CMTM5 could be reversed by pharmacologic demethylation or genetic double-knockout of DNMT1and DNMT3B, indicating methylation-mediated mechanism. Restoration of CMTM5-v1suppressed carcinoma cell proliferation, migration, and invasion. Conclusions: These results indicate that CMTM5 exhibits tumor suppressor activities, but with frequent epigenetic inactivation in carcinoma cell lines.CKLFSF is a novel family of proteins linking chemokines and transmembrane 4 super family (TM4SF). In human, nine genes, CKLF and CKLFSF1 to CKLFSF8, have been discovered. Most CKLFSF genes have different RNA splicing variants, and the protein product of at least one variant of each member has a MARVEL (MAL and related proteins for vesicle trafficking and membrane link) domain. For this reason, in December 2005, CKLFSF1 to CKLFSF8 were renamed as CMTM1 to CMTM8 (CKLF-like MARVEL transmembrane domain containing member 1 to 8). CKLF is the first identified member of this family; with four RNA splicing variants designated CKLF1 to CKLF4. Among them, CKLF1 is more related to chemokine, because it has chemotactic activity on leukocytes with CCR4 as one of its functional receptors (1, 2). CMTM1 to CMTM8 were identified based on the cDNA and amino acid sequences of CKLF2 that is the full-length cDNA product of CKLF. Of them, CMTM1 and CMTM2 are more related to chemokine, whereas CMTM8 is more related to TM4SF11, with 39% sequence homology at the amino acid level. The characteristics of other CMTM members are intermediate between CMTM1 and CMTM8 (3).Generally, TM4SF includes several types of proteins possessing the four transmembrane-helix structure, such as typical TM4SF (tetraspanin) and MARVEL domain -containing proteins. Tetraspanin-like proteins KAI1/CD82 and CD63 contain a larger second outer loop (EC2) and four to six conserved extracellular cysteine residues. Whereas the MARVEL domaincontaining proteins, including MAL, physins, gyrins, and occludin families, lack the descr...