Edited by Norma AllewellDrug candidates against matrix metalloproteinases (MMPs) failed in the clinic in the past because their strong zinc-targeting warheads led to a lack of specificity. More recently, significant selectivity among MMPs was achieved by blocking the enzymes' specificity pockets, nearby exosites, and downstream domains. Scannevin and colleagues now elegantly twist the plot and achieve ultimate selectivity: They target MMP-9 by allosterically preventing activation of its zymogen.The matrix metalloproteinases (MMPs) 2 are a family of zincdependent metallopeptidases belonging to the metzincin clan (1, 2). They are multidomain enzymes containing a prodomain that is proteolytically cleaved in one or more steps to activate the enzyme, a catalytic domain containing the reactive zinc ion, and several other structural and functional domains (1). MMPs were initially discovered 55 years ago as active factors in frog metamorphosis, in which they act as general degraders of extracellular matrix components (3). For decades, the few orthologs known in humans were also those that nonspecifically degraded extracellular matrix proteins, a process associated with metastasis and angiogenesis in cancer. As a result, these enzymes were viewed as promising anticancer targets, inspiring efforts to develop MMP inhibitors (MMPIs). The initial generations of MMPIs were small-molecule peptidomimetics equipped with a warhead that very strongly targeted the catalytic zinc ion (e.g. batimastat, ilomastat, marimastat, and prinomastat; Fig. 1 A), but these displayed low specificity. Discouragingly, they failed in clinical trials due to lack of efficacy (4); to date, the only approved MMPI is Periostat (doxycycline) for the treatment of chronic periodontitis, which displays only modest efficacy (5).Over the decades, the known palette of MMP orthologs in humans reached 23, and their physiological functions expanded well beyond indiscriminate protein degradation to sophisticated (in)activation or shedding of a plethora of proteins, including growth factors, chemokines and other cytokines. It is now well established that MMPs contribute to various inflammatory, immune, infectious, and repair processes. As we've learned more about these vast functions, the basis for the failure of the initial zinc-targeting and therefore nonspecific MMPIs has become clear: General MMP inhibition leads to off-target effects and is thus not a viable strategy (6).These clinical failures, combined with the increasing knowledge regarding the complexity of MMP biology, led to a period during which pharmaceutical companies discontinued their pipelines for the development of MMPIs. However, the field has gradually reemerged through the development of highly selective inhibitors for each of the biomedically relevant MMPs. This generation of small-molecule MMPIs does not possess strong zinc-binding groups; instead, they are designed to complement one of pockets within the active-site cleft, the specificity pocket, which diverges among MMPs. They also tackle...