The serine proteases thrombin and trypsin are among many factors that malignant cells secrete into the extracellular space to mediate metastatic processes such as cellular invasion, extracellular matrix degradation, angiogenesis, and tissue remodeling. Malignant cells solicit the help of other cell types, such as stromal fibroblasts, mast cells, monocytes, and vascular cells, to facilitate their invasion into the surrounding tissue 1 because unrestrained growth of the tumor, by itself, does not result in invasion and metastasis. 2 The interface between the invading malignant cells and the hosting stromal cells, referred to as the tumor microenvironment (TME), 3 possesses a vast array of well-orchestrated cell signaling molecules which function to facilitate the ability of the proliferating tumor front to invade the stroma, as well as to degrade and remodel the extracellular matrix. 1 Of the many factors secreted by tumor cells, the two proteolytic enzymes, thrombin and trypsin, have been correlated to the stage and type of carcinoma and are associated with cell invasion and extracellular matrix degradation. 4,5 Furthermore, the ratio of proteases to their inhibitors in the TME can favor capillary sprout elongation and lumen formation during angiogenesis. 2 Thrombin is known to influence the behavior of all of the cells identified within the TME. For instance, thrombin activates platelets to adhere to other cells or extracellular matrix, increases vascular permeability and expression of adhesion molecules, attracts monocytes, stimulates mitogenic activity of endothelial cells and fibroblasts, and degranulates mast cells. 6 -9 Thrombin also influences the rate of deposition of connective tissue proteins and the development of tissue fibrosis during normal wound healing; a process similar to cellular metastasis. 10,11 Many of thrombin's effects are mediated through the seven transmembrane G-protein coupled receptors, protease-activated receptor (PAR)-1, via proteolytic cleavage of the amino-terminal extension unveiling a new amino terminus that activates the receptor through a tethered peptide ligand mechanism. 12 In vitro studies have demonstrated increased tumor cell adhesion to endothelium, extracellular matrix and platelets, enhanced metastatic capacity of tumor cells, and activated cell growth and stimulation of angiogenesis in response to thrombin and PAR-1 agonist peptides. 13-18 PAR-1 has been localized in smooth muscle cells, 19 pancreas tumor cells, 20 -21 carcinoma and melanoma cell lines 16 and recently in human mast cells. 22 In breast carcinoma cells, the level of PAR-1 expression has been correlated to the degree of invasiveness. 23 Furthermore, B16F10 melanoma cells, transfected with PAR-1, enhanced thrombin-treated tumor cell adhesion to fibronectin 2.5-fold in vitro and pulmonary metastasis as high as 39-fold in vivo compared to the control thrombin-treated tumor cells. 24 Trypsin can stimulate fibroblasts to secrete procollagen, stimulate mast cells to degranulate, and is secreted