Degradation of adhesive glycoproteins by plasmin is implicated in cell migration. In this study, we further explored the role of plasminogen activation in cell adhesion and survival and show that uncontrolled plasminogen activation at the cell surface may induce cell detachment and apoptosis. We hypothesized that this process could be prevented in adherent cells by expression of protease nexin-1, a potent serpin able to inhibit thrombin, plasmin, and plasminogen activators. Using two-and three-dimensional culture systems, we demonstrate that Chinese hamster ovary fibroblasts constitutively express tissue-type plasminogen activator and efficiently activate exogenously added plasminogen in a specific and saturable manner (K m ؍ 46 nM). The formation of plasmin results in proteolysis of fibronectin and laminin, which is followed by cell detachment and apoptosis. Protease nexin-1 expressed by transfected cells significantly inhibited the activity of plasmin and tissue-type plasminogen activator via the formation of inhibitory complexes and prevented cell detachment and apoptosis. In conclusion, protease nexin-1 may be an important anti-apoptotic factor for adherent cells. This cell model could be a useful tool to evaluate therapeutic agents such as serpins in vascular pathologies involving pericellular protease-protease inhibitor imbalance.Apoptosis of adherent cells induced by disruption of integrinmediated cell-matrix interactions, referred to as anoikis, has been described in physiological conditions such as the renewal of intestinal epithelial cells and the involution of the mammary gland after lactation (for a review, see Ref. 1). Recent studies have shown that resistance to anoikis may also contribute to the progression of malignancy (2). Therefore, definition of the intracellular events and extracellular mediators involved in pathological anoikis could be helpful to define therapeutic targets. The intracellular pathways involved in anoikis have been extensively studied and include Bcl-2-related proteins (3), p53 (4), interleukin-1 converting enzyme-related proteases (including caspase-3), JNK (c-Jun N-terminal kinase) (5), MEKK (mitogen-activated protein kinase/extracellular signal-regulated kinase kinase kinase) proteolysis by caspases (6), focal adhesion kinase (7,8), and Akt (9). In contrast, the extracellular mediators that can trigger anoikis are less well characterized. It has been shown, however, that growth factors (such as insulin, insulin-like growth factor-1, and epidermal growth factor) and their receptors cooperate with integrins to trigger different intracellular survival signaling pathways (2). Proteases such as matrix metalloproteinases (10, 11) and leukocyte elastase (12) could also trigger anoikis by breaking down cell-extracellular matrix interactions. Plasmin, the active enzyme generated by plasminogen activation (13), is able to cleave adhesive glycoproteins such as laminin (14, 15) and fibronectin (16) and can interfere with integrin-mediated cell adhesion to adhesive glycoproteins (1...