There is a general consensus that cell-cell and cell-matrix interactio
ns determine, at least in part, the behaviour of colon cancer. The bio
logical mediators responsible for these interactions are cell adhesion
molecules belonging to several major receptor families called integri
ns, cadherins, the immunoglobulin superfamily, hyaluronate receptors a
nd mucins. Emerging data indicate that certain patterns of adhesion re
ceptor expression are associated with more aggressive disease. The pre
sent review examines the role of each of the receptor families in the
development and progression of large bowel cancer.