Metastasis is a complex process that requires sequential interactions
between the invasive cell and the extracellular matrix. These interact
ions are characterized by cell adhesion and migration. Cell adhesion i
nvolves specific receptors. Migration requires the induction and secre
tion of proteolytic enzymes belonging to the matrix metalloproteinases
(MMP) family. In most cancers, stromal cells secrete collagenases or
gelatinases under the influence of cancer cells. The MMPs are secreted
as inactive forms. In order to cross basement membrane and then to re
ach the extracellular matrix, the MMPs undergo an activation step whic
h involves plasmin, growth factors or membrane-type matrix metalloprot
einases (MT-MMPs). The molecular mechanisms involves protein-kinase C
activation. MMPs are associated with tissue inhibitors of metalloprote
inases (TIMPs) with which they form high affinity non covalent 1:1 com
plexes. Upregulation of MMPs or down regulation of TIMPs lead to an im
balance of this ratio which favours invasive process. Consequently, th
e development of matrix metalloproteinase inhibitors such as Batimasta
t may provide interesting tools for cancer therapy.