Calcium-activated chloride channel regulator 1 (CLCA1) belongs to a group of secreted self-cleaving proteins, which activate calcium-dependent chloride channels. CLCA1 has been shown to participate in the pathogenesis of inflammatory airway diseases such as asthma. Recently, additional functions of CLCA1 have been unveiled, including its metalloprotease property and involvement in mucus homeostasis and immune modulation. Emerging evidence suggests that CLCA1 may also be involved in the pathophysiology of colorectal, pancreatic and ovarian cancer. There is growing interest in utilizing CLCA1 as a diagnostic, prognostic and predictive biomarker, as well as a potential therapeutic target. In this review, the functional role of CLCA1, with a particular focus on cancer, is described. Calcium-activated chloride channel regulators (CLCAs), also called chloride channel accessory proteins, are a family of secreted self-cleaving proteins, which activate calciumdependent chloride channels. CLCAs have been implicated in the regulation of cell proliferation, cell migration and metastasis and are believed to be emerging therapeutic targets in cancer (1-3). The human genome encodes three functional CLCAs, including CLCA1, CLCA2, and CLCA4. CLCA3 is a truncated pseudogene and does not encode a protein (4). Among the CLCAs, CLCA1 possesses unique characteristics, which attribute to this protein a role in mucus homeostasis. CLCA1 is well studied due to its link to development of inflammatory airway disease (5). However, recent data indicate that CLCA1 may also be involved in neoplasia (6, 7). Consequently, CLCA1 has been suggested as a novel biomarker and a potential therapeutic target for various malignancies. Here, a comprehensive summary of the molecular structure, function and regulation of CLCA1 in cancer is provided.