Cell signaling allows for communication between cells and is crucial for many biological processes. It works through signal molecules that transmit information from one cell to another through direct contact, over short distances through paracrine signaling, or over long distances through endocrine signaling like hormones. Errors in cell signaling can lead to diseases like cancer and diabetes. The main steps involve signal molecules binding to receptors on the target cell surface, which activates intracellular signaling pathways to ultimately change gene expression. Different types of cell junctions like tight junctions, adherens junctions, and desmosomes help regulate cell-cell communication and maintain tissue structure.