Although S100A4 expression has reportedly been associated with metastasis of various malignancies, little is known about its biological significance in ovarian carcinomas. In this study, we investigated expression and secretion of S100A4 and its extracellular function in ovarian carcinoma cells. We first used immunohistochemistry to examine the expression and localization of S100A4 in 113 epithelial ovarian neoplasms (24 benign, 20 borderline, and 69 malignant tumors) and analyzed its prognostic significance in patients with ovarian carcinoma. Then we investigated the expression, subcellular localization, and secretion of S100A4 in four ovarian carcinoma cell lines. Finally, we examined the effect of S100A4 treatment on the cell proliferation and invasiveness of ovarian carcinoma cells, along with activation of small GTPase, RhoA. Both cytoplasmic and nuclear expressions of S100A4 were significantly stronger in carcinomas than those in benign and borderline tumors. Ovarian carcinoma patients with strong nuclear S100A4 expression showed a significantly shorter survival than those without (P = 0.0045). This was not the case for cytoplasmic S100A4 expression. Ovarian carcinoma cell lines were shown to express S100A4, and secrete S100A4 into the culture media. Treatment with recombinant S100A4 resulted in the upregulation of S100A4 expression, translocation of S100A4 into the nucleus, and enhancement of invasiveness, which was associated with the upregulation of small GTPase, RhoA. These findings suggest that the nuclear expression of S100A4 is involved in the aggressive behavior of ovarian carcinoma and S100A4 is an autocrine/paracrine factor that plays an important role in the aggressiveness of ovarian carcinoma cells. (Cancer Sci 2006; 97: 1061-1069) E pithelial ovarian carcinoma is the leading cause of death in female genital malignancies, and more than half of the patients are diagnosed at the advanced stage of disease.(1) The poor prognosis in patients with ovarian carcinoma is most likely related to the degree of peritoneal dissemination of cancer cells. The process of peritoneal dissemination is reportedly affected by a variety of gene products.(2-8) However, little is known about the molecular aspects of the migration and invasion of ovarian carcinoma cells. Recent attention has focused on the intracellular molecules involved in the enhancement of motility and invasiveness of cancer cells, and we previously showed that upregulation and activation of a small GTPase, RhoA, plays an important role in the tumor progression of ovarian carcinoma in vivo and in vitro. The S100A4 (also known as mts-l/metastasin/pEL98/p9ka) protein belongs to the S100 protein family, which consists of 21 small, acidic, calcium-binding proteins with two common EFhand structure motifs.(10) S100A4 has been identified so far as a cytoplasmic protein that cosediments with cytoskeletal proteins such as actin, non-muscle myosin, and non-muscle tropomyosin, implying a possible role in cell motility and invasion.(11) Its relevance to the inv...