Triglycerides, which are major constituents of dietary fat, contain a
mixture of saturated and unsaturated fatty acids. One newly recognized
function of unsaturated fatty acids is modulation of cell adhesion to
components of the extracellular matrix. Alterations in cell adhesiven
ess or cell adhesion molecule expression accompany the onset of a numb
er of diseases including arthritis, atherosclerosis. and cancer. Cell
adhesion is necessary for the metastatic spread of cancer cells to new
organs. Circulating cancer cells adhere to endothelial cells and the
underlying subendothelial basement membrane as an initial step in the
process of invading target organs during metastasis. Several recent st
udies have provided convincing evidence that unsaturated fatty acids a
nd their metabolites influence adhesion of cultured human cancer cells
to individual components of the basement membrane. These unsaturated
fatty acid effects appear to be dependent in some instances on the exp
ression of specific cell surface adhesion molecules. Unsaturated fatty
acids influence the development of metastases in animal tumor models
by largely unexplored mechanisms: the possibility that cell adhesion i
s involved in this process has not been thoroughly investigated. Futur
e studies of unsaturated fatty acid effects on cell adhesion molecule
expression in breast cancer patients should reveal the clinical releva
nce of the studies reviewed here. (C) Elsevier Science Inc.