Matrix metalloproteinases in cytotoxic lymphocytes impact on tumour infiltration and immunomodulation.

To efficiently combat solid tumours, endogenously or adoptively transferred cytotoxic T cells and natural killer (NK) cells, need to leave the vasculature, traverse the interstitium and ultimately infiltrate the tumour mass. During this locomotion and migration in the three dimensional environment many obstacles need to be overcome, one of which is the possible impediment of the extracellular matrix. The first and obvious one is the sub-endothelial basement membrane but the infiltrating cells will also meet other, both loose and tight, matrix structures that need to be overridden. Matrix metalloproteinases (MMPs) are believed to be one of the most important endoprotease families, with more than 25 members, which together have function on all known matrix components. This review summarizes what is known on synthesis, expression patterns and regulation of MMPs in cytotoxic lymphocytes and their possible role in the process of tumour infiltration. We also discuss different functions of MMPs as well as the possible use of other lymphocyte proteases for matrix degradation.

Matrix Metalloproteinases

Matrix metalloproteinases (MMPs) are zinc-dependent enzymes of great importance for extracellular matrix (ECM) degradation and basal membrane (BM) penetration by lymphocytes [1, 2]. This review summarizes the current data available regarding the reported repertoire of MMPs, their regulation in cytotoxic lymphocytes, T cells and natural killer (NK) cells as well as their impact on tumour infiltration and immunomodulation.

There are at least 25 described MMP members, all encoded by different genes. While there is substantial overlap in the MMP family with respect to specificity, they can be divided into four subgroups, i.e. interstitial collagenases (MMP-1, -8, -13 and MMP-18), gelatinases (MMP-2 and MMP-9), stromelysins (MMP-3, -10, -11, -7, -26 and MMP-27) and the membrane type MMPs (MT-MMPs) designated MT1-4 (MMP-14-17), MT5- (MMP-24) and MT6-MMP (MMP-25). The membrane bound MMPs are attached to the cell surface either through a single pass C-terminal transmembrane domain (as for MT1-, MT2-, MT3-, and MT5-MMP) or a glycosyl phosphatidylinositol (GPI) anchor (MT4- and MT6-MMP).

Matrix Metalloproteinases in Lymphocytes

Expression and Regulation of MMPs in NK Cells

A variety of MMP members, namely MMP-1, -2, -9, -13, MT1-, MT2-, MT3- and MT6-MMP has been described to be expressed in freshly isolated human NK cells [3-6]. In addition, MMP-3, -7, -10 and -11 have been found to be expressed in rodent NK cells [7-10]. Detection of the various MMPs in NK cells has mainly been done by mRNA expression analysis, i.e. RT-PCR, while MMP-1, -2, -9, MT1- and MT2-MMP have been verified also on the protein level by gelatine zymography and Western blot [3–5, 7].

Even though many MMPs have been detected in NK cells, less is known about their regulation. NK cells has been shown to up-regulate their expression of MMP-2 upon cross-linking of the activating receptor 2B4 [11] and the prostaglandin PGE2 enhances NK cell secretion of MMP-1 and MMP-3 and can thereby facilitates their migration through Matrigel filters [9]. The chemokine CXCL12 has further been found to enhance human NK cell invasion into type I collagen, as described to be in an MMP-1-dependent manner [4] and stimulation of human NK cells by the cytokine IL-18 increased their migration through Matrigel as well as their expression of MMP-2, -9 and MT1-MMP [5]. In human NK cells the effect of IL-2 is more difficult to study than in T cells, due to being ubiquous for NK cell culture. Using the IL-2-independent NK cell line YT to study the effects of IL-2 on NK cells we found an early stimulatory effect on MMP-9 secretion, and an enhanced migration through Matrigel. However, prolonged IL-2 stimulation resulted in reduced Matrigel invasion and a significant decrease in the expression of several MMPs. Thus, these in vitro data indicate a down-regulation of MMPs in response to continued cytokine stimulation. This may, in part, explain the reduced tumour infiltration by adoptively transferred NK and CD8+ T cells stimulated with IL-2 for 8–10 days compared to those stimulated with IL-2 for only 4–6 days [12]. Similarly, a prolonged culture of mouse T cells in IL-2 demonstrated a decreased anti-tumour activity in vivo [13].

Expression and Regulation of MMPs in T Cells

To date more is known about MMP regulation in T cells compared to NK cells. However, basically all publications in T cells concern MMP-2 and MMP-9 expression, where the latter is constitutively produced and MMP-2 is generated in response to antigen or cytokine stimulation [14-18]. Although, MMP-28, MT2-, MT3- and MT5-MMP have also been found to be expressed in T cell populations of ≥97% purity, by RT-PCR [19]. It could well be that the repertoire of MMPs in T cells is even larger, but has so far not been clearly reported on. For reference, in B cells, so far MMP-3, MMP-9, MMP-26 and MMP-27 have been reported to be expressed [19-21], but also for this lineage of lymphocytes MMPs have not yet been thoroughly studied. To our knowledge expression of MMPs has not been verified in regulatory T cells (Tregs). However, a Treg-mediated inhibitory effect on MMP activity and adverse cardiac remodeling has been found using a murine model of myocardial infarction [22].

A vast variety of factors have been described to affect gelatinase production by T cells. MMP-2 is up-regulated through VCAM-1-dependent adhesion to endothelial cells [15] while MMP-9 is up-regulated by vasoactive intestinal peptide (VIP), the chemokines RANTES and MIP-1α, the prostaglandin PGE2, the leukotriene B4, TNF-α, the phorbol ester 2-O-tetradecanoylphorbol-13-acetate (TPA), TGF-β and the interleukin (IL)-2 [17, 18, 23–25]. On the other hand, IFN-β as well as IFN-γ have been found to repress the production of MMP-9 by T cells [17, 26, 27]. The NK and T cell activating cytokine IL-2 can in T cells increase MMP-9 production and MMP-dependent migration [14, 28]. Furthermore, increased collagenolysis was evident when IL-2 stimulated T cells were cultured with tumour cells but not in peripheral blood T cells [28]. Also, IL-8 increases the expression of MMP-2 and MMP-9 in human T cells as well as their migratory ability [29]. Focal adhesion kinase (FAK) regulates integrin-dependent MMP-2 and -9 expression and release by T cells [30] and production of MMP-9 by T cells from tumour bearing mice increases in parallel to tumour burden, possibly via vascular endothelial growth factor (VEGF) [31].

Quantitative data on the secretion of MMPs are scarce but human T cells were found to produce higher amounts of MMP-2 and MMP-9 compared to NK cells [17]. However, this vast screening report using semi-quantitative gelatine zymography does not clearly adjust for difficulties ensuring cell viability in the necessary culture procedure. In fact, NK cells seem, from the current knowledge, to be better equipped to efficiently degrade a wide range of ECM structures due to the large variety of MMPs they express. We have found that while most MMPs detected in freshly isolated human NK cells are only moderately expressed, MT6-MMP is expressed at a much higher level than the other MMP members [6]. Most likely T- and NK cell migration has many common features and they probably use, at least partly, similar molecular machinery. Therefore, some of the findings for T cells might also apply for NK cells and vice versa. However, since no or only few direct comparing data are available such a statement has to await those studies.

Localisation of MMPs

It has been assumed that MMPs are released immediately following formation. However, pre-synthesized MT1-MMP has been proposed to be stored, transiently, in trans-Golgi network/endosomes of HT1080 fibrosarcoma cells awaiting trafficking to the cell membrane [32] and neutrophils have been shown to store MMP-8 and MMP-9 in granules that are rapidly released upon activation [33].

Cell surface containment of proteolytically active MMPs will optimize matrix degradation at the invasive front and, interestingly, also soluble MMPs may localize to the cell membrane. For instance, expression of membrane-bound MMP-8 was found to be up-regulated during neutrophil migration through Matrigel [34]. Furthermore, translocation of MMP-8 and MMP-9 to the cell surface of activated neutrophils was associated with an increased stability and a resistance to inhibition by tissue inhibitors of metalloproteinases (TIMPs) [34, 35]. Moreover, MMP-2, -7 and -9 have been shown to re-localize to the surface of malignant cells through association with proteoglycans, the proteoglycan-binding membrane receptor CD44 and integrin αvβ3 [36-40]. Since activated cytotoxic lymphocytes also express CD44 and αvβ3, it is fully possible that temporal cell surface retention of activated MMP members occurs in these cells via the same mechanism. Morphological evidence of MMPs in NK cells by antibody staining has proven very difficult, likely because of the low amounts of MMPs, and we have found no solid evidence for a granular storage of MMPs in NK cells despite extensive studies based on light and electron microscopy. However, by subcellular fractionation and subsequent gelatine zymography, evidence of a membrane localization of MMP-2 was obtained from the YT cell line [3].

Utility of MMPs

Matrix-degrading enzymes are known to be needed for the ability of malignant cells to invade dense matrices and the importance of MMPs in invasion has also been demonstrated in non-malignant cells e.g. vascular smooth muscle cells, keratinocytes, osteoclasts, macrophages and endothelial cells, reviewed in [2, 41–43].

In vitro studies of freshly isolated NK cells from human, mice and rats have shown that their migration through Matrigel depends in part on MMPs. Inhibition of freshly isolated human NK cell migration by the hydroxamate MMP-inhibitor GM6001 is in the 30%–60% range [4, 6]. Studies on rodent NK cells have shown that inhibition of MMPs using the MMP inhibitor batimastat (BB94) decreased rat A-NK cell migration by 50% while mouse A-NK cell migration was inhibited up to 70%–90% [7, 8]. The rat NK cell line RNK-16 has also been used to study the role of MMPs in NK cell migration and both GM6001 and BB94 inhibited their migration through Matrigel by approximately 50% [9, 44]. Likewise, invasion through Matrigel by T cells (both freshly isolated and cell lines) is facilitated by MMPs, since treatment with GM6001 or BB94 can reduce invasion by 30%–70% [14, 23, 24, 45]. Migration of T cells may also be reduced using selective gelatinase inhibitors in experimental models of inflammation [29].

The above mentioned studies all show an incomplete reduction of the migratory ability of both T- and NK cells using MMP inhibitors. Similarly, it has been demonstrated that cancer cells have an ability to traverse Matrigel despite presence of GM6001 [46], and that a capacity to invade Matrigel does not reflect invasive ability in vivo [47]. The here tested MMP inhibitors are not equally effective in inhibiting various MMPs and some might not be inhibited at all despite the high molar excess used in vitro. These findings could also be partly explained by the structural difference of Matrigel compared to authentic BMs, with a lower level of cross-linking, which consequently influences the relevance of Matrigel as a model of native BM. And, as later will be discussed, also other proteases and migration strategies do likely operate as well.

Lymphocyte Locomotion in 3D Environment/Migratory Strategies

Adhesion molecules have for long been considered a key component in facilitating and mediating lymphocyte homing and migration [48]. However, helped by the emergence of new and improved optical imaging technologies and the ease of gene knockout, new insights in cell locomotion in 3-dimensional matrices has been obtained. Much of the data has been obtained from dendritic cells acting as a model of leukocytes. Based on these studies, it has become clear that while attachment/adherence of lymphocytes to ECM for migration in 2-dimensional environments involves integrins, immune cells may well migrate in 3-dimensional matrices both in vitro and in vivo without the need for focal adhesion [49-52].

Lymphocyte migration in 3-dimensional matrices is now being described as amoeboid, i.e. a migration mode characterized by a rounded or ellipsoid cell shape with instable non-focalized adhesion sites and lack of stress fibres that allows the cells to migrate at high speed (10 μm/min) and squeeze through narrow matrix gaps [53-55]. If this is also the case in tumour tissue is yet to be shown, as here rapid tumour growth will lead to a disorganized morphology where possible normally present conductive traits or cellular pathways may become obstructed by either tightly packed tumour cells or an unstructured formation of matrix products from the malignant cells. In rodent experimental tumour models NK cells have been shown to deform into extremely thin formations during extravasation and intra-tumour migration, ~3 μm, where the nucleus ultimately is size limiting [56, 57]. Very dense tumour tissue might not leave such gaps and could thereby physically resist lymphocyte invasion.

Less well documented, with only in vitro data using cultured mouse A-NK cells and human NK cell lines, is the possibility of a release of hydrophilic proteoglycan-containing material with matrix-dilating properties as a potential migratory strategy [58, 59]. Such tissue-loosening effects have previously been demonstrated during mesenchymal cell migration and also to facilitate malignant cell invasion [60-62]. Clearly, there are many different components and several mechanisms involved in tissue migration, which could very well be operating in different situations or even simultaneously.

While the dependence of firm adhesion in 3-dimensional migration may be low, it is of high importance for the initial arrest in the microvessel and for extravasion across the endothelial lining [63, 64]. Although inhibition of proteases can cause a transition from protease-dependent migration to the amoeboid-like movement that allows cells to squeeze through narrow matrix gaps [65-67], the high density that characterizes basement membranes and some connective tissues makes it difficult to compensate matrix-degradation with shape change [68]. Therefore, lymphocytes migrating within tumour tissue, aiming at positioning themselves in direct contact with malignant cells, must likely depend on both matrix degradation and shape modulation.

Most lymphocyte-mediated killing mechanisms are dependent on a close contact between the immune cell and its target. It has however experimentally been shown that many extravasated lymphocytes remain localized in the stroma surrounding the tumour nests [57, 69–74]. This could be part of the explanation for the limited efficiency seen in adoptive immunotherapy [75]. Nevertheless, many of the lymphocytes do manage to migrate in between tumour cells and do establish close membrane contact with these. Whether the migrating lymphocyte needs cell-cell or cell-matrix interactions, or both, in order to receive the signals needed to continue its movement, is unclear. Thus, the extracellular matrix may thereby be seen as both a barrier and an important component to ensure forward propulsion. The arsenal of MMPs needed for an efficient migration of lymphocytes will likely vary with the ECM composition of the environment [76-78]. Thus, one could hypothesise that some lymphocytes are functionally deficient of the proteases needed to penetrate a specific tumour environment (an inverse of the “seed and soil” hypothesis proposed by Paget for the metastatic process [79]), which could contribute to a limited lymphocyte invasion. Since the exact preferred in vivo substrate for each MMP member is still mainly unknown, this issue is inherently difficult to study [80]. As to the question whether the presence of extracellular matrix is needed to ensure forward propulsion, we have observed significant migration of adoptively transferred IL-2-activated lymphocytes (LAK cells) of both T- and NK cell origin, into areas of tumours, which, appeared to be composed solely of tumour cells, i.e., with very little if any laminin, fibronectin and collagen [73] (Fig. 1). While the average density of LAK cells was found to be significantly higher in the ECM-rich tumours, ECM-low tumours also contained significantly more LAK cells than the surrounding normal lung tissue [73]. In the EMC-low nodules, the density of LAK cells was higher in areas close to ECM elements (e.g., at the edge of the tumour or around blood vessels), but a substantial fraction of the LAK cells was found at distances greater than 100 μm from the nearest, detectable matrix components. Thus, the presence of ECM may not be a prerequisite for the ability of activated lymphocytes to infiltrate and move around in solid tumours.

Fig. 1

LAK cell infiltration of lung metastases with high and low content of extracellular matrix components. Splenocytes from Thy1.1+ C57BL/6 congenic mice were incubated with IL-2. After 5 days of incubation, the cells, containing approximately equal amounts of NK cells, CD8+ T cells, and NKT cells, were harvested. 5 × 106 LAK cells were injected i.v. into Thy1.2+ C57BL/6 mice bearing 9 days old MCA-102 pulmonary metastases. 20,000 U Peg-IL-2 were given twice a day to support the injected cells. At 72 h after injection, lungs were removed, fresh frozen and cryosections were prepared. Sections were stained with PE-conjugated anti-Thy1.1 antibody to reveal the LAK cells and with FITC-conjugated anti-Laminin antibody to reveal laminin. Tumours are outlined (white). a DIC (Differential interference contrast) photomicrograph of lung tissue showing a larger metastasis, growing around a vessel (asterisk), and a smaller, more pleomorphic metastasis developing in the lung parenchyma with no relationship to larger vessels. b The same area as shown in A after staining with FITC-conjugated anti-laminin antibody. While the larger, perivascular metastasis contains very little laminin, the smaller, pleomorphic metastasis is rich in laminin. c The same area as shown in A + B after staining with PE-conjugated anti-Thy1.1 antibody. The density of LAK cells in the laminin-low, perivascular metastasis is substantially higher than in the surrounding normal lung tissue, but not as high as the density of LAK cells in the laminin-rich metastasis [73]. d Overlay of B and C: While the distribution of LAK cells in the laminin-rich nodule is relatively homogenous, the density of LAK cells is higher near laminin-dense areas of the laminin-low nodule. However, many LAK cells (arrow-heads) in the laminin-low nodule have migrated away from the laminin-rich edges and into what seems to be laminin-free areas. Bars = 200 μm

A number of studies have examined the ability of various lymphocytes to migrate into tumour-derived spheroids. For example IL-2 activated T- and NK cells have been investigated for their capacity to migrate into the intercellular space of a multicellular spheroid grown from a human glioblastoma [81]. In this system, migration was investigated via the use of different classes of inhibitors which had effect on various adhesion systems including cell-matrix or cell-cell interactions, e.g. α3β1 to fibronectin, laminin and collagen, but no such in vitro studies regarding proteases or protease inhibitors has been done.

Microenvironmental Regulatory Factors

Regulation of the MMPs occurs at several different levels, transcriptionally through induced or repressed expression, posttranscriptionally with proteolytic activation of the zymogen form and inhibition of the active enzyme by specific inhibitors. Also the extravasating lymphocyte may encounter several regulatory factors in the tumour microenvironment. Human NK cells infiltrating tumour nests have a relatively suppressed immunophenotype in contrast to the stromally located NK cells [82], which raises the question of the possibility of various subsets of effector cells. Further, there is an extensive cross-talk with other immune cells that will affect the lymphocytes activation status [83]. A number of reports have appeared that link the activation of MMPs to oxidative stress. For example, MMP inhibition has been suggested as a novel therapeutic strategy for the prevention of oxidative stress related damage to the heart [84]. In addition, high levels of oxygen radicals produced by tumour associated macrophages can suppress T- and NK cells cytotoxicity and viability [85]. A low pH level, which is often found within tumour tissue, has further been found to influence both lymphocytes cytotoxic activity as well as their motility [86]. While a large decrease in pH has negative effects on lymphocyte activity, a slight decrease has been shown to increase IL-2-activated T cells locomotion in in vitro ECM gels, indicating a finely tuned balance, the latter was suggested to be explained by an enhanced heparanase production [87].

Much has been written about the impact of a hypoxic environment on cellular chemotaxis and migration [88]. Hypoxia has been shown to suppress monocyte–derived dendritic cell MMP-9 [89]. In addition hypoxia has also been reported in multiple cellular systems to reduce MMP production. For instance, hypoxia has been found to reduce the output of TNF-α-induced proMMP-9 by three fold in a monocytic cell line and in primary human monocytes [90]. It has further been hypothesized that attachment of proMMP-9 to cell membranes is increased after hypoxia, consistent with its interactions with surface molecules such as CD44. Moreover, the reduced migration of monocytes in hypoxia was found to be mediated at least in part by secreted MMP-9 suggesting that hypoxia posttranslationally can reduce secreted amounts of proMMP-9 mostly by cellular trafficking but also by attachment to the membrane [90].

In vivo the extracellular source of active MMPs is intriguing. As known, tumour cells use MMPs and other matrix degrading proteases in their dissimination and in various steps of the metastatic process. And in malignant cell tissue invasion a substantial part of the matrix degrading proteases actually comes from surrounding stroma cells [91]. Similarly, T cell interaction with endothelial cells leads to MMP-2 activation, induced expression of MMP-9 and increased MMP-1 and MMP-3 expression in endothelial cells [92]. It has furthermore been shown that T cells induce MMP-1 [93] and MMP-9 [94] expression in monocytes and fibroblasts during co-culture. EMMPRIN/CD147 is a cell surface protein with extracellular metalloproteinase inducer activity. It is highly expressed in tumour cells and promotes MMP production by stromal cells. EMMPRIN/CD147 has been described to be expressed by human peripheral T cells [95, 96], however, the detailed function of EMMPRIN in invasion is still not well studied.

Other Matrix-Degrading Enzymes

Besides MMPs, the urokinase plasminogen activator (uPA) system is also implicated in ECM degradation and BM passage by lymphocytes [1, 2]. The uPA system with uPA and its receptor uPAR contributes to ECM degradation by converting plasminogen into active plasmin, which degrades multiple matrix proteins and can also activate MMPs through proteolytic processing [97].

Extracellular and cell-associated plasminogen activators were first reported to be produced by highly purified NK cells with molecular characteristics including those of uPA suggesting a role for the uPA system in several aspects of NK cell function [98, 99]. Through inhibition studies the uPA/uPAR system has been shown to be involved in rat NK cell migration, and there are evidence for a cooperation of the uPA system and MMPs in NK cell migration [44]. The uPA-uPAR system has further been showed to be involved in T cell invasion [100-102], indicating the importance of the uPA system in lymphocyte invasion. It has been suggested that uPAR is a signalling receptor and regulator of integrins in NK cells with impact on NK cell function [103]. Moreover, co-capping and fluorescence microscopy have shown that uPAR physically associates with the αν integrin on the surface of NK cells of the YT cell line [104]. This has suggested that signalling initiated by uPAR binding to uPA or by uPAR clustering may be dependent upon the physical association of uPAR with integrins.

Among other potential matrix degrading enzymes are the endoglycosidase heparanase. Heparanase is mostly produced by tumour cells, but also by lymphocytes [105] and a co-regulation between heparanase and MMP expression has been demonstrated [106, 107]. Of potential interest to study with references to the malignant cell invasion counterpart are seprase and elastase. While seprase is a membrane bound serine protease with gelatinase activity over expressed in malignant cells and found to associate with MMPs on the cell surface of tumour cells [108], elastase is a serine protease produced also by T cells [109].

The co-stimulatory antigen CD26, identical to the serine dipeptidylpeptidase IV, is induced on cytokine stimulated NK cells [110] and it has been proposed to participate in matrix degradation. Furthermore, the papain family of cystein peptidases cathepsin B, H, L, S and the aspartic cathepsin D, have been implicated in malignant behaviour contributing to matrix breakdown [111, 112] and the tetramer of related enzymatic subunits, dipeptidylpeptidase I (DPPI), is further found in the granules of cytotoxic lymphocytes [113], and has been implicated in degradation of matrix components [114].

Of particular interest, due to its relative abundance, is that the granular stored serine protease granzyme B, which is part of the extensive cytotoxic machinery in cytotoxic lymphocytes, has also been reported to degrade both non-collagenous and ECM-associated components including laminin, fibronectin, vitronectin and aggrecan proteoglycan [115, 116]. While it is well recognized that the uPA system can degrade laminin and fibronectin as well as activate some latent pro-forms of MMPs, granzymes too might function in concert with lymphocyte MMPs to degrade the key ECM and BM components laminin and type IV collagen.

Immunmodulating Effects of MMPs

It has increasingly been recognized that the proteolytic action of MMPs is not restricted to only degradation of ECM components and that MMP therefore can be given an immunomodulating role. MMPs have been shown to selectively degrade non-matrix substrates including chemokines and cytokines and thereby contribute to cellular migration via multiple pathways [117]. Moreover, MMPs have now been found to be implicated in selective proteolysis of cell surface substrates, including integrins, growth factors and receptors [118]. Such selective proteolysis of non-matrix substrates, as well as ECM components, modulates many processes including tumour progression, cell survival and cell proliferation [1, 119, 120]. Importantly, the ECM may serve as a reservoir for growth factors and cytokines controlling their availability and activity. The highly important cytokine IL-2, has for example been shown to bind to collagen [121], and when released after collagenolytic activity it can provide a temporal important stimulation to the migrating T- or NK cells.

There are several mechanisms by which MMP-9 functions as a modulator to regulate the immune response. For example, MMP-9 can cleave and activate the cytokine IL-1, which induces the expression of MMP-9 in several cell types; it potentiates the effect of IL-8 through truncation and can also cleave and inactivate the IL-2 receptor α chain [122]. Also, proteolytic processing of pro-TNF-α by MMP releases soluble TNF-α from the cell surface of peripheral blood mononuclear cells (PBMCs) [123].

Future Perspectives

This article reviews the pleiotropic functions of lymphocyte-derived MMPs in a number of killer cell functions. This includes but may not be limited to issues of cellular migration and localization of effector cells within the microenvironment of tumour metastases. In recent years quantitative peptidic-centric proteomic technologies, including those that recover N-terminal peptides have supplemented biochemical and genetic approaches for the identification of protease substrates; these have helped identify natural protease substrates while identifying their selective cleavage sites in complex backgrounds of thousands of distinct proteins [124]. As proteolytic processing receives increasing attention in the studies of signalling pathways as well as in cellular differentiation, protease substrates have also been sought via shotgun as well as mass spectrometry-driven substrate degradomics [125]. It has thus become increasingly clear that proteolysis mediated by MMPs and other lymphocyte-derived proteolytic enzymes are not limited to only the degradation of ECM substrates but can also be extended to a broader regulatory role via proteolysis of an array of additional physiological substrates. It is thus to be anticipated that future studies, for the identification of multiple substrates for proteolytic enzymes, will further illuminate the role for lymphocyte-derived proteases in numerous additional regulatory functions for these enzymes at both the cellular and molecular levels.