1Cell adhesion proteins not only maintain tissue integrity but also possess signaling abilities to organize diverse 2 cellular events in physiological and pathological processes; however, the underlying mechanism remains 3 obscure. Among cell adhesion molecules, the claudin (CLDN) family often possesses aberrant expression in 4 various cancers, but the biological relevance and molecular basis have not yet been established. Here, we show 5 that high CLDN6 expression promotes endometrial cancer progression and represents the poor prognostic 6 marker. The second extracellular domain and Y196/200 of CLDN6 were required to recruit and activate Src-7 family kinases (SFKs) and to stimulate malignant phenotypes. Importantly, we demonstrate that the 8 CLDN6/SFK/PI3K-dependent AKT and SGK (serum-and glucocorticoid-regulated kinase) signalings target 9 Ser518 in the human estrogen receptor α and ligand-independently activate target genes in endometrial cancer 10 cells, resulting in cancer development. The identification of this machinery highlights regulation of the 11 transcription factors by cell adhesion to advance tumor progression. 12 13 Introduction 1 Endometrial cancer represents the most common gynecological malignancy in developed countries, with an 2 increased prevalence worldwide (1). Although it has been considered to occur during the postmenopausal period, 3 cases diagnosed in premenopausal women are growing (2). The risk factors for endometrial cancer include an 4 excess of endogenous and exogenous estrogens, older age, obesity, and nulliparity (3,4). Patients with 5 endometrial cancer are often found at the early stages and possess a relatively favorable prognosis. However, up 6 to 20% of cases recur after primary surgery, and the 5-year overall survival rates for the International Federation 7 of Gynecology and Obstetrics (FIGO) stages III and IV are 57 66% and 20 26%, respectively (5). Therefore, 8 biomarkers that reflect the malignant behavior of endometrial cancer are required to identify patients with poor 9 outcome. 10 Claudins (CLDNs) are major proteins of tight junctions, the apical-most components of apical junctional 11 complexes (6-9). The CLDN family is composed of 24 members in humans, and displays distinct expression 12 patterns in tissue-and cell-type selective manners. CLDNs also show aberrant expression in a variety of cancer 13 tissues (10). These tetraspanning membrane proteins have a short cytoplasmic N-terminus, two extracellular 14 loops (EC1 and EC2) and a C-terminal cytoplasmic domain. CLDNs act as paracellular barriers or pores via the 15 EC1 to regulate selective transport of ions and substances. On the other hand, CLDN-EC2 participates not only 16 in the binding for Clostridium Perfringens enterotoxin (CPE), but also in trans-interaction between the plasma 17 membranes of neighboring cells. Furthermore, the C-terminal cytoplasmic domain of CLDNs is thought to 18 propagate intracellular signals, but the underlying molecular basis has not been determined (11). 19 Among the CLDN ...