BackgroundNeuron-specific enolase (NSE) has been used as a specific biomarker for small cell lung cancer (SCLC) patients. Nevertheless, the biological function and mechanism of NSE in SCLC are still unclear. MethodsWe conducted an investigation in SCLC patients and then analyzed the association between NSE concentration and the distant metastasis. The migration and invasion were analyzed using Wound-healing and Transwell assays. The proteins and mRNA levels were measured by western blot and qRT-PCR. Furthermore, we conducted Gene Set Enrichment Analysis (GSEA) to explore potential signaling pathways. The interaction between NSE and β-catenin was verified through CO-IP experiments. In addition, animal experiments were performed in tumor metastasis models of nude mice.ResultIn this study, we clarified the role of NSE in the progression of SCLC and found that NSE expression was positively correlated with distant metastasis. Functional analysis showed that overexpression of NSE promoted migration, invasion and metastasis of SCLC cells, while knocking down NSE inhibited these effects. Mechanism analysis showed that NSE overexpression induced epithelial-mesenchymal transition (EMT) of SCLC cells, while knocking down NSE inhibited this effect. Moreover, overexpression of NSE increased the protein expression of β-catenin and its downstream target genes, and silencing β-catenin eliminated NSE-mediated cell migration, invasion and EMT process. Furthermore, NSE interacted with β-catenin and inhibited the degradation of β-catenin. Besides, the animal experiments also indicated that NSE could promote the EMT process and tumor distant metastasis of SCLC cells by activating Wnt/β-catenin pathway in vivo.ConclusionOur results revealed that NSE could promote EMT process of SCLC cells by activating the Wnt/β-catenin signaling pathway, thereby promoting migration, invasion and distant metastasis, which might serve as a potential target for the therapy of SCLC patients.