“…For intravasation, the tumor cell must invade through the tumor stroma (Chiang & Massague, 2008; Joyce & Pollard, 2009). HA, such as that found in the HA-rich stroma of tumors, can induce expression of several ECM degrading enzymes on tumor cells including the matrix metalloproteinases MT1-MMP, MMP-2, MMP-7, and MMP-9 as well as EMMPRIN and the cysteine proteases cathepsin D and cathepsin K (Abecassis, Olofsson, Schmid, Zalcman, & Karniguian, 2003; Bourguignon et al, 2004; Chetty et al, 2012; Droller, 2003; Kim et al, 2008; Kosunen et al, 2007; Marrero-Diaz et al, 2009; Mitchell & King, 2014; Murray, Morrin, & McDonnell, 2004; Nalla, Gorantla, Gondi, Lakka, & Rao, 2010; Veeravalli et al, 2010). Once at the blood vessel, the tumor cell can secrete a host of factors to induce disruption of EC junctions and EC retraction including MMP1, ADAM12, and TNF1α to allow for paracellular transendothelial migration (Mierke, 2011).…”