Background Lung cancer is one of the most common malignancies worldwide and is the leading cause of cancer-related death. Approximately 85% of lung cancer patients represent a group of histological subtypes collectively known as non-small cell lung cancer (NSCLC).Methods To explore the molecular mechanisms underlying tumorigenesis and progression of NSCLC, mRNA expression profiles were downloaded from GEO database (GSE19804, GSE18842, GSE27262, and GSE43458) and differentially expressed genes (DEGs) in NSCLC tissues were analyzed by GEO2R. DEGs in NSCLC tissues were further analysed in TCGA (The Cancer Genome Atlas), GTEx (The Genotype-Tissue Expression Project) and IST (In Silico Transcriptomics) online databases. Serum of NSCLC patients and normal controls were collected and serum concentration of SPINK1 were analysed by ELISA. mRNA and protein expression levels of SPINK1 were analysed by qRT-PCR and western assays. siRNA targeting SPINK1 and normal controls were used for the silence of SPINK1 and GAPDH. CCK-8 assays were employed for cell proliferation detection. Flow cytometric analysis and western blot assays were conducted to assess cell cycle distribution and apoptosis. Western blot assays were performed for the evaluation of cell autophagy and signaling pathways.Results Among these DEGs, SPINK1 was distinctively up-regulated in NSCLC tissues, which was further validated in TCGA, GTEx and IST databases. Furthermore, serum SPINK1 concentration notably increased in NSCLC patients compared with normal controls. Besides, both mRNA and protein expression levels of SPINK1 significantly increased in human NSCLC cell lines A549 and H1299 compared with normal human bronchial epithelial cell line HBE. Silence of SPINK1 significantly inhibited proliferation of NSCLC cell lines, and exogenous addition of rhSPINK1 partially rescued proliferation suppressed by endogenous knockdown of SPINK1. Mechanistically, silence of SPINK1 could inhibit MEK/ERK signaling pathway, while rhSPINK1 could activate MEK/ERK signaling pathway and then promote proliferation of NSCLC cell lines. In addition, silence of SPINK1 also could activate cell autophagy and apoptosis.Conclusions Overall, our results suggested that SPINK1 may be a potential biomarker correlated with the progression of NSCLC.