The activities of neutral collagenolytic enyzmes (CE) and neutral proteoglycan-degrading enzymes (PE) in the synovial membranes of osteoarthritis (OA) patients were determined. The total neutral m e t a l b C E activily showed a significantly higher level of activity when the membranes of OA patients were compared with those of controls. The severely and moderately inflamled synovia had significantly more enzyme activity than (did either mildly inflamed or control synovia. Steroilds reduced the total metallc4E activity. In specimens with severe inflammation, the active form of the neutral metalla-CE was significantly elevated over that found in controls. The serine-CE activity was also significantly elevated in OA synovia with severe inflammation and synovial hypertrophy. The total and active neutral1 m e t a l b P E was significantly elevated in synovial membranes of OA patients with severe inflammation. Moreover, the serine-PE showed much more activity in OA patients than in controls. The enzyme activity remained at a significantly high level in the OA synovium, regardless of the presence or absence of macroscopic synovial hypertrophy or the histologic grading of the synovium (mild, moderate, severe). Our data indicate that, in OA, an increased level of neutral proteases in the synovia could be involved in the local tissue destruction of the periarticular structures. Because of the very high level of seriae proteases, their diffusion may render plausible a degradative action on the cartilage surface.The synovial membrane is a major component of all diarthrodial joints. This tissue has a superficial cell lining, composed of synoviocytes which overlie a subsynovial loose connective tissue. Synovial membranes from patients with inflammatory joint diseases, such as rheumatoid arthritis, show marked synovial lining cell hyperplasia and mixed cellular infiltration, consisting of both mononuclear cells and polymorphonuclear leukocytes (1). The release of proteolytic enzymes from the pannus (2-4) may be responsible, in part, for the cartilage erosion and the disruption of the tendon and ligament integrity.Osteoarthritis patients who have undergone either total knee or total hip replacement are often found to have a prominent inflammatory synovitis that may resemble the inflammatory changes seen in rheumatoid arthritis (5). The synovial membrane shows a lining cell hyperplasia and an inflammatory cellular infiltrate, composed mainly of mononuclear cells. mal and osteoarthritic synovia can produce collagenase, as well as other metalloproteases, in a latent form (6-8). However, there has been no clear evidence osteoarthritic synovium. If there is such an increased level, it could be of major importance, because it of any increased level of neutral proteases within the