The integrin family of adhesion receptors plays a major role in epithe
lial organization and function. Moreover, the altered expression and f
unction of specific integrins most likely contributes significantly to
carcinoma progression. The integrin alpha 6 beta 4, the focus of this
review, is a receptor for several members of the laminin family and i
s preferentially expressed at the basal surface of most epithelia, whe
re it contributes to basement membrane interactions. Mounting evidence
suggests that the alpha 6 beta 4 integrin plays a key role in carcino
ma cell biology. Several histopathological studies have established a
correlation between alpha 6 beta 4 integrin expression and tumor progr
ession The importance of alpha 6 beta 4 expression in tumors is unders
cored by the findings that invading fronts of several carcinomas are e
nriched in the expression of alpha 6 beta 4 integrin ligands, such as
laminin-1 and laminin-5. The participation of the alpha 6 beta 4 integ
rin in invasion is supported further by in vitro functional studies us
ing carcinoma cells that have been transfected with the beta 4 cDNA. T
he mechanisms by which alpha 6 beta 4 contributes to tumor progression
are probably related to its mechanical and signaling properties and a
re currently under intense study.