Colorectal cancer is the third most prevalent form of cancer worldwide and fourth-leading cause of cancer-related mortality, leading to ϳ600,000 deaths annually, predominantly affecting the developed world. Lysyl oxidase is a secreted, extracellular matrix-modifying enzyme previously suggested to act as a tumor suppressor in colorectal cancer. However, emerging evidence has rapidly implicated lysyl oxidase in promoting metastasis of solid tumors and in particular colorectal cancer at multiple stages, affecting tumor cell proliferation, invasion, and angiogenesis. This emerging research has stimulated significant interest in lysyl oxidase as a strong candidate for developing and deploying inhibitors as functional efficacious cancer therapeutics. In this review, we discuss the rapidly expanding body of knowledge concerning lysyl oxidase in solid tumor progression, highlighting recent advancements in the field of colorectal cancer. colorectal cancer; extracellular matrix; lysyl oxidase COLORECTAL CANCER (CRC), encompassing both colon and rectal cancer, is the third most prevalent form of cancer worldwide and the fourth-leading cause of cancer-related mortality, leading to ϳ600,000 deaths annually (22). Of note, CRC is most prevalent in developed countries, where cases account for over 60% of the total 1.2 million worldwide diagnoses. The primary treatment for CRC typically involves surgical resection, which remains the gold standard of care for patients. However, greater than 50% of CRC-specific deaths occur as a result of metastatic dissemination, with advanced-stage CRC patients exhibiting a median survival of only 6 -9 mo from diagnosis (63). Thus the early identification of patients harboring metastatic tumors will allow the rapid deployment of adjuvant therapies to help improve their survival. Therefore, understanding the molecular mechanisms behind the spread of CRC is key to stratifying patients for emerging antimetastatic therapies.Lysyl oxidase (LOX) is a secreted copper-dependent amine oxidase whose primary function is to catalyze the covalent cross-linking of collagens and elastin in the extracellular matrix (ECM). This occurs through the oxidative deamination of peptidyl lysine residues in ECM components (33, 64). The action of LOX is important in establishing the structural integrity and stability of the ECM, thereby contributing to the tensile strength of many tissues. LOX is the classical member of a larger family of proteins consisting of five currently identified paralogs: LOX, LOX-like 1 (LOXL1), LOX-like 2 (LOXL2), LOX-like 3 (LOXL3), and LOX-like 4 (LOXL4). Each of these members shares a high degree of sequence homology within their carboxy terminal region, leading to conservation of including a conserved catalytic domain, copper-binding motif, a lysyl-tyrosyl-quinone (LTQ) cofactor, and cytokine receptor-like (CRL) domain (Fig. 1). The amino terminal regions are more divergent and are thought to be important in protein-protein interactions. The presence of prodomains in LOX and LOXL1 enables th...