Integrins are cell-matrix adhesion molecules providing both mechanical engagement of cell to extracellular matrix, and generation of cellular signals that are implicated in cancer malignancies. The concept that integrins play important roles in cell survival, proliferation, motility, differentiation, and ensuring appropriate cell localization, leads to the hypothesis that inhibition of certain integrins would benefit cancer therapy. In lung cancer, integrins αv, α5, β1, β3, and β5 have been shown to augment survival and metastatic potential of cancer cells. This review presents data suggesting integrins as molecular targets for anti-cancer approaches, and the mechanisms through which integrins confer resistance of lung cancer to chemotherapeutics and metastasis. The better understanding of these key molecules may benefit the discovery of anti-cancer drugs and strategies. Lung cancer is, by far, one of the most common human cancers causing nearly 1 in 5 cancer-related mortalities worldwide. Its incidence and mortality have been continuously growing since the 1930s. According to the International Agency for Research on Cancer, more than 1.8 million people were diagnosed and over 1.5 million people died from lung cancer, worldwide (1). Generally, lung cancer can be classified as non-small cell lung Integrins Integrins are transmembrane proteins functioning as cell surface protein receptors that control cell adhesion to 541 This article is freely accessible online.