The carcinoembryonic antigen-related cell adhesion molecule CEACAM1 has a relative molecular mass ranging between 110,000 to 160,000 (Mr 110K - 160K) due to its multiple and variable N-glycosylations. CEACAM1 is a multifunctional, homophilic adhesion receptor molecule. In addition, its transmembrane signaling leads to a variety of cellular responses including regulation of proliferation, differentiation, tumor growth, angiogenesis, apoptosis and modulation of the innate and adaptive immune response. CEACAM1 mediates cell-cell adhesion by homophilic binding. The N-terminal domains of CEACAM1 are required for these interactions and both the long (CEACAM1-L) and the short (CEACAM1-S) isoforms mediate adhesion. The homophilic binding of CEACAM1 is regulated by its cis-dimerization, phosphorylation status and calmodulin binding. Furthermore, cleavage of the cytoplasmic tail of CEACAM1-L by caspase-3 modifies the adhesive activity. Heterophilic interactions of human CEACAM5 (CEA) and CEACAM6 have also been reported. Due to its frequently decreased expression in epithelial tumors, CEACAM1 was considered to be a tumor suppressor. Various cell culture and orthopic xenograft model studies have provided further evidence for this hypothesis. In human melanoma, CEACAM1 associates in cis with integrin αvβ3 and may promote cellular invasion. CEACAM1 is a potent co-regulator of B cell receptor complex (BCR)-induced activation. In granulocytes CEACAM1 is generally accepted to be a positive regulator of effector functions in neutrophils. In addition, CEACAM1 was found to regulate the clearance of insulin by regulating endocytosis of the insulin receptor.