Matrix metalloproteinases (MMPs) are a family of zinc-containing endo-
proteinases that share structural domains but differ in substrate spec
ificity, cellular sources, and inducibility. Macrophage production and
secretion of large quantities of many MMPs, after contact with matrix
proteins, is enhanced by surface determinants on activated T cells an
d suppressed by cytokines from Th1 and Th2 cells. T cells secrete pred
ominantly the gelatinases MMP-2 and -9, after beta(1) integrin- or vas
cular cell adhesion molecule (VCAM)-1-dependent stimulation by cytokin
es and inflammatory mediators. MMPs of both T cells and macrophages fa
cilitate secretion of TNF-alpha, by cleavage of the membrane-bound for
m. T cell MMPs prepare connective tissue matrices for T cell chemotaxi
s across basement membranes and through tissues. The greater amounts o
f diverse MMPs from macrophages are capable of degrading connective ti
ssues, which may release stored growth factors. In limited studies of
animal models of autoimmunity, specific MMP inhibitors have significan
tly decreased edema and inflammatory tissue damage, suggesting possibl
e therapeutic benefits.