GUCY2C, also known as GC-C, is a type I transmembrane protein of the guanylate cyclase (GC) family that signal by producing cGMP. Which is a key receptor for heat-stable enterotoxins that are responsible for acute secretory diarrhea. GUCY2C and its hormones guanylin and progranulin have emerged as one paracrine axis defending intestinal mucosal integrity against mutational, chemical, and inflammatory injury. GUCY2C murine CAR-T cells recognized and killed human colorectal cancer cells endogenously expressing GUCY2C. As an important member of the intestinal signaling system, GUCY2C has shown anti-tumor activity in colorectal cancer (CRC) with controllable toxicity. GUCY2C CAR-T or vaccine prevents colorectal cancer metastasis.