We have shown that prostasin serine protease is downregulated in high-grade prostate tumors and inhibits invasiveness of prostate cancer cell lines upon enforced reexpression. In our study, prostasin mRNA and protein were shown to be expressed in normal human mammary epithelial cells (NHMEC) Prostasin, a prostate-abundant serine protease originally discovered in human seminal fluid, 1 has recently been shown to be downregulated in high-grade (Gleason 4/5) prostate cancers and to have the ability of inhibiting invasion in vitro upon enforced reexpression in highly invasive human prostate cancer cells Prostasin is a glycosylphosphatidylinositol (GPI)-anchored active serine protease expressed in normal prostate epithelial cells and can also be secreted into the prostatic fluid. 3 The membrane-anchored but not the secreted prostasin confers the invasion suppression of prostate cancer cells. 2 Enforced reexpression of prostasin in DU-145 and PC-3 cells did not have any effect on cell proliferation. 2 Together with normal epithelial specific 1 (NES1), 4 prostase 5 and testisin, 6 these 4 and potentially more serine proteases form the foundation of a new paradigm of serine proteases and cancer. 2 First, these serine proteases are expressed in either normal prostate epithelia or cells (prostasin, NES1 and prostase), 2,4,5 normal breast epithelial cells (NES1) 4 or the pachytene spermatocytes in normal testis (testisin). 6 But they are absent or expression level-reduced in tumors or tumor cell lines of these tissues. 2,4 -6 Second, NES1 and testisin have been shown to be tumor suppressors 4,7 and prostasin may be a potential invasion suppressor. 2 These new roles of serine proteases in cancer are in sharp contrast to the view held of serine proteases' role in cancer by the conventional paradigm, that they are usually upregulated in cancer and promote cancer invasion and metastasis. 8 A classical example of the conventional paradigm of serine proteases' role in prostate and breast cancers is given with the urokinase-type plasminogen activator (uPA). uPA is upregulated in prostate and breast cancers and promotes tumor invasion. 9,10 In breast cancer cell lines, uPA expression was observed in the highly invasive, hormone-insensitive MDA-MB-231, but not in the poorly invasive, hormone-sensitive MCF-7, T-47D or normal human mammary epithelial cells (NHMEC). 11 uPA expression in breast cancer cells is regulated by promoter DNA methylation. 11,Prostasin's expression was mainly found in the prostate while a lesser amount was found in various tissues. 1,12 Prostasin expression in the breast, however, has not been examined. Several prostate-abundant serine proteases, for example, prostate-specific antigen (PSA) and human glandular kallikrein 2 (hK2), have been shown to be expressed in human breast cancer cell lines. 13 In our study, we have examined prostasin expression in NHMEC and a panel of human breast carcinoma cell lines, including the poorly invasive MCF-7, the nonmetastatic MDA-MB-453 and the highly invasive and metastati...