The pivotal involvement of cell surface plasminogen activation and matrix metalloproteinase (MMP)-mediated proteolytic activity in both physiologic and pathologic processes associated with extracellular matrix (ECM) degradation has been extensively documented over the past decade. 1,2 u-PA, bound to its cell surface receptor u-PAR, is central to this process, while the serine protease inhibitor PAI-2 is the primary inhibitor of u-PA activity in the extracellular space. [1][2][3][4] Interactions between the plasminogen-activating (PA) and MMP enzyme systems, at the level of proteolysis and gene expression, resulting in cross system catalytic activation, illustrate the close relationship these enzyme cascades have in regulating proteolytic degradation of the ECM. 5,6 Tumor cell invasion and the metastatic process have been associated with elevated levels of cell surface u-PA-mediated plasminogen activation and MMP activity, while in vitro, in vivo and clinical studies suggest that inhibition of cell surface u-PA and MMP expression is associated with reduced tumor cell invasion, metastasis and improved clinical outcome. 7-13 For example, clinical studies have demonstrated an association between elevated tumor u-PA levels and poor outcome in breast cancer, 11 lung cancer, 14 colon cancer 15 and ovarian carcinoma. 16 Antibodies directed against u-PA and its cell surface receptor u-PAR reduce the invasiveness of human melanoma and lung cancer cells, 17 while proteolytically inactive u-PA-derived peptides act as antagonists to u-PA/u-PAR binding, facilitating reduced cancer cell invasion. 18 Inhibition of u-PA activity using small molecule catalytic site inhibitors and peptides reduces tumor growth, 19,20 and pulmonary metastasis. 21 In syngeneic models of breast cancer, antibodies directed against the ligand-binding NH2 terminal domain of u-PAR reduce tumor volume in vivo, 22 while a combination of antiestrogen therapy with the urokinase inhibitor B-428 significantly reduced tumor volume and metastasis over single-agent therapy 23 in this model. In addition, use of peptides directed against a nonreceptor binding domain of urokinase in a syngeneic breast cancer metastasis model demonstrates reduced tumor growth and metastasis in animals treated with a combination of tamoxifen and peptide over single agent alone. 24 An increase in breast cancer cell apoptosis was also noted in the peptide-treated animals, indicating that the effects of the u-PA/u-PAR system in modulating cancer progression are unlikely to be restricted to cell surface proteolysis alone. 24 Of the MMPs thought to be causal in the progression of the metastatic phenotype, MMP-2 and MMP-9 have been the most extensively studied. MMP-2 and MMP-9 expression levels in either plasma or tumor are most often associated with the metastatic phenotype and are predictive of survival. 2,25,26 In vitro and in vivo studies utilizing treatment with a synthetic MMP inhibitor, A-177430, correlate with a reduction in tumor growth and metastasis in a syngeneic rat prostate ca...