Embryonic development and tumor progression both require the exquisite coor
dination of programs for extracellular matrix (ECM) formation and remodelin
g, and those for angiogenesis and vascular development. Without a vascular
supply the normal tissue or tumor is limited in size and organization. With
out ECM remodeling the alteration of tissue and tumor boundaries and cellul
ar migrations are limited. Recent insights into the molecular mechanisms re
gulating the extracellular environment of the growing embryonic tissue or t
umors have implicated proteases, the matrix metalloproteinases (MMPs) in pa
rticular, in both the process of ECM remodeling and angiogenesis, and in a
potential causal relationship between these processes. This review focuses
on the roles that MMPs play in regulating three processes in which both pro
teolysis and vascular development are tightly coordinated: embryo implantat
ion, bone development and tumor progression.