The activation of pro matrix metalloproteinases (MMPs) by sequential proteo
lysis of the propeptide blocking the active site cleft is regarded as one o
f the key levels of regulation of these proteinases. Potential physiologica
l mechanisms including cell-associated plasmin generation by urokinase-like
plasminogen activator, or the action of cell surface MT1-MMPs appear to be
involved in the initiation of cascades of pro MMP activation. Gelatinase A
, collagenase 3 and gelatinase B may be activated by MT-MMP based mechanism
s, as evidenced by both biochemical and cell based studies. Hence the regul
ation of MT-MMPs themselves becomes critical to the determination of MMP ac
tivity. This includes activation, assembly at the cell surfaces as TIMP-2 c
omplexes and subsequent inactivation by proteolysis or TIMP inhibition.