VCAM1 and familial pancreatic carcinoma: In further support of the important role of the tumor expression of VLA-4 in metastatic potential, over-expression of VLA-4 is linked to tumor progression in melanoma, endometrial cancer, neuroblastoma, pancreatic cancer and leukemia, where VCAM-1 is also up-regulated [43,50,51,52,53,54].