Abstract-Extracellular proteolysis is an absolute requirement for new blood vessel formation (angiogenesis). This review examines the role of the matrix metalloproteinase (MMP) and plasminogen activator (PA)-plasmin systems during angiogenesis. Specifically, a role for gelatinases (MMP-2, MMP-9), membrane-type 1 MMP , the urokinase-type PA receptor, and PA inhibitor 1 has been clearly defined in a number of model systems. The MMP and PA-plasmin systems have also been implicated in experimental vascular tumor formation, and their role during this process will be examined. Antiproteolysis, particularly in the context of angiogenesis, has become a key target in therapeutic strategies aimed at inhibiting tumor growth and other diseases associated with neovascularization. Key Words: extracellular matrix Ⅲ endothelium Ⅲ metalloproteinase Ⅲ plasminogen Ⅲ cancer I t is firmly established that angiogenesis is an absolute requirement for the growth of normal and neoplastic tissues. 1 Many biological processes, including angiogenesis, depend on tightly controlled interactions between cells and the extracellular matrix (ECM). These interactions are mediated by (1) integral membrane proteins, including integrins, which provide a link between the ECM and the cytoskeleton, and (2) extracellular proteinases and their inhibitors, which mediate focal degradation of components of the ECM, some of which (eg, the fibrillar collagens) are highly resistant to broad-spectrum proteases. Most of the relevant extracellular proteolytic enzymes belong to one of two families: the serine proteases, in particular, the plasminogen activator (PA)-plasmin system, and the matrix metalloproteinases (MMPs). [2][3][4] Like most other biological processes, angiogenesis is the result of subtle and often complex interactions between regulatory and effector molecules. To facilitate its analysis, it is useful to divide angiogenesis into a phase of activation (sprouting) and a phase of resolution. The phase of activation encompasses (1) increased vascular permeability and extravascular fibrin deposition; (2) vessel wall disassembly; (3) basement membrane degradation; (4) cell migration and ECM invasion; (5) endothelial cell proliferation; and (6) capillary lumen formation. The phase of resolution includes (1) inhibition of endothelial cell proliferation; (2) cessation of cell migration; (3) basement membrane reconstitution; (4) junctional complex maturation; and (5) vessel wall assembly, including recruitment and differentiation of smooth muscle cells and pericytes. Implicit in the definition of the resolution phase is the establishment of blood flow in the newly formed vessel. 1 Extracellular proteolysis has been implicated in many of these processes, including basement membrane degradation, cell migration/ECM invasion, and capillary lumen formation (the Table). 5 The classic descriptions by Clark and Clark in 1939 6 of new blood vessel formation in transparent chambers in the rabbit ear clearly demonstrate the production of fibrinolytic activity by growi...