DMBT1 (deleted in malignant brain tumor 1), which encodes a large scavenger receptor cysteine rich (SRCR) B protein, has been proposed to be a tumor suppressor gene, due to the high frequency of its homozygous deletion and the lack of expression in a variety of cancers. However, studies on its physiological functions and its relationship with tumorigenesis are still at an initial stage. Two mucosal defense-related molecules, gp-340 and salivary agglutinin, have been identi¢ed to be alternatively spliced products of DMBT1, which suggests that DMBT1 is a pattern recognition receptor in innate immunity. Meanwhile, results from immunohistochemical staining and studies at the cellular level, began to associate DMBT1 with a proliferation to di¡erentiation switching process in gastrointestinal epithelial cells. Together with its up-regulation in in£ammation, these ¢ndings suggest that DMBT1 might be a local regulator of homeostasis, possibly through linking mucosal in£ammation to the modulation of epithelial regeneration, and whose abnormality is a frequent cause of malignancy.