We examined the effects of CCL1, CCL2, CCL12 and CCL21 on the expression of adhesion molecules in cultured human lymphatic endothelial cells using immunohistochemical staining or Western blot analysis. In addition, we investigated whether the expressed adhesion molecule was able to facilitate the attachment of carcinoma cells to the lymphatic endothelial cells as an in vitro micrometastatic model. CCL2 caused a selective and significant expression of ICAM-1 on human lymphatic endothelial cells but CCL1, CCL12 and CCL21 did not. By increasing the stimulation time from 4 to 18 and 48 h, the intensity of immunoreactivity for ICAM-1 was significantly increased in a time-dependent manner up to 18 h. The ICAM-1 mRNA levels were also elevated significantly up to 18 h. The CCL2-mediated immunohistochemical expression of ICAM-1 was dose-dependently increased from 10 pg/mL to 1 ng/mL. The CCL2-mediated expression of ICAM-1 was significantly reduced by neutralization of CCL2 using a specific CCL2 antibody. C hemokines are soluble, small molecular-weight proteins that bind to their cognate G-protein coupled receptors to elicit cellular responses, usually directional migration or chemotaxis.(1,2) Tumor cells secrete and respond to chemokines, which facilitate the tumor growth that is achieved by increased endothelial cell recruitment, subversion of immunological surveillance, and maneuvering of the tumoral leukocyte chemokine profile to skew it (immunoediting) such that the chemokines released enable tumor growth and metastasis to distant sites. Thus, the CXCL12-CXCR4 axis facilitates metastasis to distant organs, and the CCL21-CCR7 pair favors metastasis to lymph nodes. These two chemokine ligand-receptor systems are key mediators of tumor cell metastasis for several malignancies and as such provide key targets for chemotherapy. (2,3) Recently, the concept of sentinel lymph node (SLN), which is the first node in the lymphatic network draining the primary tumor, has been proposed by mapping of regional lymph nodes using radioisotopes or dye. The SLN is the presumptive initial site of lymphatic micrometastasis of carcinoma cells. The clinical importance of SLN has been proven in many breast cancer patients.(4) However, the biological and histological properties of the lymphatic endothelial cells (LECs) in the SLN that interact with micrometastatic carcinoma cells remain unclear. It has also become known that primary tumors influence the microenvironment of tumor tissues before metastasis.(5,6) However, it is unclear which molecules in the premetastatic SLN develop a suitable environment for the micrometastasis that is related to the attachment of carcinoma cells to LECs.Therefore, we have attempted to examine the effects of various kinds of chemokines on the expression of adhesion molecules on cultured human LECs located in the nearest afferent lymph vessels of the SLN, and then investigate whether the expressed adhesion molecules are able to facilitate the attachment of carcinoma cells to the LECs. In addition, we studied th...