e16111 Background: Hepatocellular carcinoma (HCC) is one of the most lethal cancers due to metastasis. Liver cirrhosis increases tumor stiffness and forms confine space for HCC cells. How HCC cells overcome the confined space to evade is largely unknown. Procollagen-Lysine,2-Oxoglutarate 5-Dioxygenase (PLOD) family members, mainly responsible for lysyl hydroxylation, play important roles in tumor progression. The role of PLOD1 in confine migration remains unclear. Methods: LC-MS was applied to determine the differentially expressed proteins between HCC tissues and corresponding adjacent tissues. Microfluidic confine migration device with 6μm high channels was designed to mimic the in vivo confined space. Real-time microscope was used to monitor cell migration. The high throughput 3D invasion assays using Matrigel and Collagen I mixture added to adherent cells was applied to evaluate 3D invasion with high content screening instrument. 3D spheroid formation assays developed by different substitution percentage GelMA created various stiffness environment. IP was performed to pull down the PLOD1-binding proteins. IF staining, Western blot, FRAP, and others were used to evaluate the target expression and cellular phenotype. Results: LC-MS analysis showed that PLOD1 is highly expressed in HCC tissues. High PLOD1 expression level was associated with advanced tumor stage and unfavorable prognosis in 130 HCC patients. We found that confine migration was enhanced by PLOD1 overexpression. With the PLOD1 knockdown or inhibition, the migration speed significantly decreased. Transwell migration also showed PLOD1-overexpressed cell line can migrate faster. 3D invasion and spheroid formation assays also supports the previous findings on chip that PLOD1-overexpressed cells can invade further and generate more spheroids under high stiffness. IP-MS analysis showed that PLOD1 could bind to actin related proteins, including Septin2 (SEPT2). We found that PLOD1 can promote the formation of F-actin network, Septin network and actin polymerization. In addition, knockdown of SEPT2 was able to reverse the effect of PLOD1 on confine migration and inhibited the formation of F-actin network. Co-IP experiments showed that SEPT2 can bind to α-actin. We further found that PLOD1 could promote the binding between SEPT2 and other Septin members. Mechanically, we found that PLOD1 can increase the hydroxylation of SEPT2 protein stabilize it. Finally, orthotopic transplantation assay showed that PLOD1 promoted intrahepatic or extrahepatic metastasis. Conclusions: We demonstrated that PLOD1 increased SEPT2 stability by modifying its hydroxylation, thereby promoting the formation of Septin and F-actin networks, which in turn promotes the confined migration of HCC cells. The current work revealed novel molecular mechanism of PLOD1 on HCC confine migration and metastasis.