The schematic representation of the physiological and pathophysiological roles of TSPAN8 and the effect of a newly developed antibody targeting TSPAN8 in TSPAN8-mediated cancer progression and metastasis. Under physiological conditions, TSPAN8 interacts with itself and other binding proteins to efficiently convey outside signals to the inside of the cell. It plays a key role in the regulation of many cellular functions such as leukocyte trafficking, angiogenesis and wound repair. Under pathophysiological conditions such as cancers, it has been well-known that TSPAN8-overexpression is closely associated with the cell growth, angiogenesis, and invasion and metastasis of tumor cells. Furthermore, it is also believed that the monoclonal antibody or radiolabeled monoclonal antibody to TSPAN8 may be effective in suppressing TSPAN8-mediated tumor progression and metastasis. Abbreviation: mAb, monoclonal antibody.