Extracellular acidosis often rapidly causes intracellular acidification, alters ion channel activities, and activates G proteincoupled receptors. In this report, we demonstrated a novel cellular response to acidosis: induction of the zymogen activation of matriptase. Acid-induced matriptase activation is ubiquitous among epithelial and carcinoma cells and is characterized by rapid onset, fast kinetics, and the magnitude of activation seen. Trace amounts of activated matriptase can be detected 1 min after cells are exposed to pH 6.0 buffer, and the vast majority of latent matriptase within the cells is converted to activated matriptase within 20 min. Matriptase activation may be a direct response to proton exposure because acid-induced matriptase activation also occurs in an in vitro, cell-free setting in which intracellular signaling molecules and ion channel activities are largely absent. Acid-induced matriptase activation takes place both on the cell surface and inside the cells, likely due to the parallel intracellular acidification that activates intracellular matriptase. Following matriptase activation, the active enzyme is immediately inhibited by binding to hepatocyte growth factor activator inhibitor 1, resulting in stable matriptase-hepatocyte growth factor activator inhibitor 1 complexes that are rapidly secreted. As an early response to acidosis, matriptase activation can also be induced by perturbation of intracellular pH homeostasis by 5-(N-methyl-N-isobutyl)-amiloride and 5-(N-ethyl-Nisopropyl)-amiloride, both of which inhibit Na ؉ /H ؉ exchangers, and diisothiocyanostilbene-2,2-disulfonic acid, which can inhibit other acid-base ion channels. This study uncovers a novel mechanism regulating proteolysis in epithelial and carcinoma cells, and also demonstrates that a likely function of matriptase is as an early response to acidosis.Matriptase, a type 2 transmembrane serine protease, is broadly expressed by epithelial and carcinoma cells (1-3), and plays essential roles in the maintenance of epithelial integrity, particularly for epidermal terminal differentiation and barrier function (4 -6). A rare human inherited genetic disorder, autosomal recessive ichthyosis, is associated with two missense mutations of the human ST14 gene, which encodes matriptase (7,8). In addition, the protease can exhibit potent oncogenic activity via ras-dependent and ras-independent pathways when it is even slightly overexpressed in the skin of transgenic mice (9). Several tumor xenograft models also provide further evidence that matriptase is strongly associated with cancer cell proliferation, invasion, and metastasis (10, 11). As is typical for classical serine proteases, matriptase is synthesized as a zymogen and must undergo activation by cleavage at Arg 614 (R2VVGG) to gain full proteolytic activity. It is the activity of the mature enzyme that is believed to be responsible for both the physiological and pathological functions of the enzyme identified by studies of animal models and human genetics (12)(13)(14).In contr...