. Extracellular matrix stimulates reactive oxygen species production and increases pancreatic cancer cell survival through 5-lipoxygenase and NADPH oxidase. Am J Physiol Gastrointest Liver Physiol 289: G1137-G1147, 2005. First published July 21, 2005 doi:10.1152/ajpgi.00197.2005.-The extracellular matrix (ECM) facilitates pancreatic cancer cells survival, which is of central importance for pancreatic adenocarcinoma that is highly fibrotic. Here, we show that reactive oxygen species (ROS) mediate the prosurvival effect of ECM in human pancreatic cancer cells. Fibronectin and laminin stimulated ROS production and NADPH oxidase activation in pancreatic cancer cells. Both pharmacological and molecular approaches show that fibronectin stimulated ROS production through activation of NADPH oxidase and NADPH oxidase-independent pathways and that 5-lipoxygenase (5-LO) mediates both these pathways. Analyses of the mechanisms of ROS production by ECM proteins and growth factors indicate that activation of NADPH oxidase (Nox4) is a common mechanism employed both by ECM proteins and growth factors to increase ROS in pancreatic cancer cells. We also found that Nox4 is present in human pancreatic adenocarcinoma tissues and that these tissues display membrane NADPH oxidase activity. ECM proteins and growth factors activate NADPH oxidase through different mechanisms; in contrast to ECM proteins, growth factors activate NADPH oxidase through 5-LO-independent mechanisms. Inhibition of 5-LO or NADPH oxidase with pharmacological inhibitors of these enzymes and with Nox4 or 5-LO antisense oligonucleotides markedly stimulated apoptosis in cancer cells cultured on fibronectin. Our results indicate that ROS generation via 5-LO and downstream NADPH oxidase mediates the prosurvival effect of ECM in pancreatic cancer cells. These mechanisms may play an important role in pancreatic cancer resistance to treatments and thus represent novel therapeutic targets. pancreas REACTIVE OXYGEN SPECIES (ROS) are highly reactive O 2 metabolites that include superoxide radical (O 2 Ϫ ⅐), hydrogen peroxide (H 2 O 2 ), and hydroxyl radical (HO⅐) (44). Whereas ROS are classically thought of as cytotoxic and mutagenic (23, 33), recent evidence suggests that ROS such as superoxide and H 2 O 2 serve as regulators in signal transduction pathways (38). ROS are involved in proliferation, cell death, and adhesion pathways (7,9,39,42). The targets of ROS include such key signaling molecules as transcription factor NF-kB, MAPKs, and tyrosine phosphatases (10,15,46,55).In phagocytes, large amounts of ROS are produced during the oxidative burst by plasma membrane NAD(P)H oxidase, a well-characterized multicomponent enzyme with gp91 phox and p22phox catalytic subunits that together form an integral complex called flavocytochrome b 558 (3, 4). Nonphagocytic cells also produce significant amounts of ROS, albeit much smaller than in phagocytes (4,5,25). In nonphagocytic cells, ROS are produced by mitochondria as well as by a number of ROS-generating plasma membrane and cy...