Leukocyte-derived proteinases have the capacity to degrade every component
of the extracellular matrix, and thereby play fundamental roles in physiolo
gical processes. However, if the activity of these proteinases is uncontrol
led or dysregulated, they have the capacity to contribute to tissue injury
that potentially affects every organ in the body. Although there is a subst
antial literature on structure and activity of these proteinases when they
are free inn solution, until recently there has been little information abo
ut the cell biology of proteinases and their inhibitors, Recent studies, ho
wever, have identified several mechanisms by which inflammatory cells can d
egrade extracellular proteins in a milieu that contains high-affinity prote
inase inhibitors.