“…Thus, cartilage resorption involves both metalloproteinases and serine proteinases, which are likely to function through a series of interacting cascades (Figure 2). A large number of serine proteinases have been shown to activate proMMPs, especially proMMP-3 (trypsin, chymotrypsin, tryptase, chymase, plasmin, plasma kallikrein, NE, CTG, trypsinogen 2, thrombin, and matriptase) (38,81,84,(189)(190)(191)(192). However, the precise activation mechanisms for many of the proMMPs that occur in vivo in both cartilage and other matrices are unknown (175).…”