To reduce cancer mortality, understanding of mechanisms of cancer metastasis is crucial. We have established six rat hepatocellular carcinoma (HCC) cell lines, which exhibit differing metastatic potential to the lung after inoculation into the tail veins of nude mice. In the present experiment, we investigated the process of cell attachment to metastatic sites and possible regulating factors. One hour after inoculation, two of two HCC cell lines with high metastatic potential and one of two HCC cell lines with low metastatic potential exhibited many attached cells in the lung. One day after inoculation, lung metastatic foci were observed only with highly-metastatic cells with elevated connexin 43 (Cx43) expression as assessed by cDNA array analysis. Furthermore, 24 or 48 h after transfection of an siRNA targeting Cx43, in vitro invasion and migration were suppressed by 68% (P < 0.001) and 36% (P < 0.05) compared with control-siRNA transfected cells, despite no differences in cellular morphology, cell proliferation or apoptotic activity. Moreover, the number of metastatic nodules per lung area in nude mice was significantly (P < 0.01) reduced. In conclusion, suppression of Cx43 expression in tumor cells reduced in vitro migration and invasion capacity and in vivo metastatic ability so that Cx43 has potential as a molecular target for prevention of cancer metastasis with Cx43 overexpressing tumors. (Cancer Sci 2012; 103: 860-867) D espite significant improvements in diagnosis, surgical techniques, general patient care and local and systemic adjuvant therapies, most deaths from cancer are due to metastases that are resistant to conventional therapies. To reduce cancer mortality, an understanding of the mechanisms of cancer metastasis and the development of treatments focusing on prevention and/or care of metastases are a high priority.We have established six rat hepatocellular carcinoma (HCC) cell lines(1) from an in vivo rat HCC model, (2)(3)(4) in which combination treatment of N-nitrosomorpholine and diethylnitrosamine induces liver tumors metastasizing to the lung. These cell lines (HSU-C1, -C2, -C5F, -C6, -N1 and -L2) show similar in vitro doubling times but widely differing metastatic ability after inoculation into the tail vein or transplantation into the subcutis of nude mice.(1) In particular, the N1 and L2 lines are particularly metastatic to the lung when inoculated into the tail vein, as compared with the other lines. All these lines express the glutathione S-transferase placental form (GST-P), known to be upregulated during rat hepato-carcinogenesis, from preneoplastic liver cell foci to hepatocellular carcinoma.(5-7) Thus, immunohistochemistry for rat GST-P can readily visualize the cells in mouse tissue.Metastasis is a multi-step process, involving angiogenesis, invasion, detachment, circulation, adhesion and extravasation.(8) The genes and factors responsible for promotion or suppression of metastasis are multiple for each step and reasons for differences in metastatic potential remain to be eluc...