Repair involves an orderly progression of events to reestablish the integri
ty of the injured tissue. During each stage in this process, secreted prote
inases are needed to remodel extracellular matrix, facilitate cell migratio
n, and process latent proteins, among other functions. In lung epithelium,
several of these processes are mediated by matrilysin, a matrix metalloprot
einase (MMP); Unlike most MMPs, matrilysin is produced by intact, noninjure
d airway and peribronchial epithelial cells. In other intact epithelial tis
sues, namely the small intestine, matrilysin functions in host. defense by
activating the latent form of defensins, a family of antimicrobial peptides
. This metalloproteinase may serve a similar function in the lung. Furtherm
ore, in models of airway injury, matrilysin expression is upregulated in mi
grating epithelial cells, and the activity of this proteinase is required f
or repair of airway wounds. These observations indicate that matrilysin ser
ves key functions in both epithelial defense and repair.