“…Mechanistic studies on heparanase action have focused primarily on its expression by tumor cells and revealed that heparanase promotes an aggressive tumor behavior via multiple mechanisms. However, non-tumor (host) cells including T lymphocytes, B lymphocytes, neutrophils, monocyte/macrophages, endothelial cells, osteoclasts, and fibroblasts can also upregulate heparanase expression upon activation and thereby contribute not only to cancer progression (Edovitsky et al., 2004, Arvatz et al., 2011b, Lerner et al., 2011, Vlodavsky et al., 2012, Barash et al., 2014, Ramani et al., 2016), but also to acute and chronic inflammation (Li et al., 2008, Vlodavsky et al., 2012, Goldberg et al., 2013), autoimmunity (de Mestre et al., 2007, Li et al., 2008), atherosclerosis (Vlodavsky et al., 2013, Aldi et al., 2019), tissue fibrosis (Secchi et al., 2015), kidney dysfunction (van den Hoven et al., 2007, Garsen et al., 2016a, Garsen et al., 2016b), ocular surface dysfunction (McKown et al., 2009, Zhang et al., 2010b), diabetes (Parish et al., 2013), and diabetic complications (Gil et al., 2012, Wang et al., 2013).…”