“…7 Although the major substrate for MMP-12 is elastin, MMP-12 is able to degrade a broad spectrum of substrates such as type IV collagen, fibronectin, laminin, vitronectin, proteoglycans (PGs), chondroitin sulfate, myelin basic protein, ␣-1-anti-trypsin, and plasminogen. 8,9 Moreover, human and mouse MMP-12 undergo self-activation through autolytic processing, and recombinant rabbit MMP-12 has been shown to activate other MMPs such as MMP-2 and MMP-3. 5 Importantly, MMP-12 expression of macrophages is highly regulated by inflammatory mediators such as GM-CSF, MCP-1, 10,11 and CD40 ligands, 12 suggesting that in many inflammatory processes, once MMP-12 is up-regulated, there is a cascade of activation of other MMPs that leads to extracellular matrix degradation.…”