Purpose: There is epidemiologic evidence that high garlic consumption decreases the incidence of prostate cancer, and compounds isolated from garlic have been shown to have cancer-preventive and tumor-suppressive effects. Recent in vitro studies in our laboratory have shown that garlic-derived organosulfur compound S-allylmercaptocysteine suppresses invasion and cell motility of androgen-independent prostate cancer cells via the up-regulation of celladhesion molecule E-cadherin. S-allylmercaptocysteine is therefore a potential antimetastatic drug with broad clinical applications that we tested in vivo for the first time in this study. Experimental Design: We used a newly established fluorescent orthotopic androgenindependent prostate cancer mouse model to assess the ability of S-allylmercaptocysteine to inhibit tumor growth and dissemination. Results: We showed that oral S-allylmercaptocysteine not only inhibited the growth of primary tumors by up to 71% (P < 0.001) but also reduced the number of lung and adrenal metastases by as much as 85.5% (P = 0.001) without causing notable toxicity. This metastatic suppression was accompanied by a 91% reduction of viable circulating tumor cells (P = 0.041), suggesting that S-allylmercaptocysteine prevents dissemination by decreasing tumor cell intravasation. Conclusions: Our results provide in vivo evidence supporting the potential use of S-allylmercaptocysteine as an E-cadherin up-regulating antimetastatic agent for the treatment of androgen-independent prostate cancer. This is the first report of the in vivo antimetastatic properties of garlic, which may also apply to other cancer types.Prostate cancer is the second most frequent cause of male cancer death in the United States (1). Despite the widespread presence of clinically insignificant tumors in elderly men, prostate cancer commonly has an aggressive phenotype that requires prompt intervention (2). For metastatic disease, the initial medical treatment is androgen deprivation, which induces tumor regression and reduction in serum prostatespecific antigen in 80% to 85% of cases. Unfortunately, androgen-independent tumor recurrence is almost ubiquitous, for which only palliative treatment is available, and even the newest docetaxel-based regimes confer only a 2.4-month survival advantage (3). Death from prostate cancer is the result of metastatic spread, characteristically to the bones, lungs, liver, pleura, and adrenals (4). Bony metastasis is characterized by severe chronic pain, spinal cord compression, and pathologic fractures. Prostate cancer is therefore a highly desirable target for effective and tolerable antimetastatic drugs.Certain dietary agents may have a preventive effect for prostate cancer, including tomato-derived lycopene, vitamin E, and selenium (5). Furthermore, epidemiologic evidence supports a protective role for high garlic consumption, with one study indicating that high garlic consumption (>10 g/d) was related to low prostate cancer prevalence in China (relative risk, 0.51; P < 0.001; r...