Cutaneous melanoma is a highly invasive and metastatic tumor. Degradation o
f basement membranes and extracellular matrix is an essential step in melan
oma cell migration, invasion, and metastasis formation. Matrix metalloprote
inases and their tissue inhibitors play a crucial role in these complex mul
tistep processes. Melanoma cells may express a number of matrix metalloprot
einase family members (MMP-1, MMP-2, MMP-9, MMP-13, and MT1-MMP) as well as
their tissue inhibitors (TIMP-1, TIMP-2, and TIMP-3). Numerous studies hav
e examined matrix metalloproteinases, their tissue inhibitors, and the mole
cules that regulate their expression and/or activation in melanoma cell lin
es in vitro and in vivo, and in human melanocytic lesions. Recent results h
ave indicated that adhesion molecutes such as CD44 and integrin alpha(v)bet
a(3) are involved in positioning activated matrix metalloproteinase molecul
es on the cell surface of invasive tumor cells. In this review we evaluate
these novel aspects of the role of matrix metalloproteinases and their tiss
ue inhibitors in melanoma progression. We conclude that the balance between
levels of activated matrix metalloproteinases and expression levels of the
ir tissue inhibitors, and the coexpression of activated matrix metalloprote
inases and adhesion molecules are important factors in determining melanoma
cell invasion, tumor growth, and metastasis formation.