Cell fusion is involved in many critical developmental processes, including zygote formation and organogenesis of placenta, bone, and skeletal muscle. In adult tissues, cell fusion has been shown to play an active role in tissue regeneration and repair, and its frequency of occurrence is significantly increased during chronic inflammation. Fusion between tumor cells and normal cells, or among tumor cells themselves, has also been speculated to contribute to tumor initiation, as well as phenotypic evolution during cancer progression and metastasis. Here, we show that dual metastasis organotropisms can be acquired in the same cell through in vitro or in vivo spontaneous fusion between bone-and lung-tropic sublines of the MDA-MB-231 human breast cancer cell line. The synkaryonic hybrids assimilate organ-specific metastasis gene signatures from both parental cells and are genetically and phenotypically stable. Our study suggests cell fusion as an efficient means of phenotypic evolution during tumor progression and additionally demonstrates the compatibility of different metastasis organotropisms.breast cancer ͉ cell fusion ͉ nuclear reprogramming ͉ genomic instability ͉ centrosome T he development of cancer is believed to be driven by the progressive accumulation of numerous genetic and epigenetic alterations that gradually allow early hyperplasia to become highly malignant tumors (1, 2). Likewise, metastasis organotropism-the capability of tumor cells to colonize specific target organs-is thought to emerge via acquisition of distinct sets of organ-specific metastasis genes in metastatic variants that are most adapted to different target organ microenvironments through Darwinian selection (3). Indeed, genomic profiling of metastatic variants selected in vivo in mouse models of breast cancer has unveiled 2 separate sets of genes that promote metastasis to bone and lung, respectively (4, 5), although it is unclear whether such distinct organ-specific metastasis gene signatures can coexist in the same cell to give rise to tumor cells capable of colonizing both organs. An alternative theory of metastasis progression has also been proposed that argues for rapid acquisition of metastatic phenotypes through fusion between tumor cells or between tumor cells and certain normal cells, such as macrophages (6-9), rather than requiring the progressive accumulation of independent genetic or epigenetic alterations in a single cell lineage. Given that a 1-cm 3 tumor of Ϸ10 9 cells is estimated to harbor as many as 10 5 proliferating hybrid cells produced by spontaneous cell fusion (6, 10), the contribution of cell fusion to the phenotypic evolution of tumors cannot be overlooked.In this study, we used a well-characterized model system of organ-specific breast cancer metastasis to show that spontaneous cell fusion between bone-tropic and lung-tropic cancer cells, both in vitro and in vivo, generates stable hybrids with dual metastasis tropism to both organs. In addition to directly demonstrating the role of cell fusion in the rapid ...