The plasminogen/plasmin system, urokinase-type plasminogen activator (uPA), its receptor (uPAR), and its inhibitor (PAI-1), influence extracellular proteolysis and cell migration in lung injury or neoplasia. In this study, we sought to determine whether tcuPA (two chain uPA) alters expression of its major inhibitor PAI-1 in lung epithelial cells. The expression of PAI-1 was evaluated at the protein and mRNA level by Western blot, immunoprecipitation, and Northern blot analyses. We found that tcuPA treatment enhanced PAI-1 protein and mRNA expression in Beas2B lung epithelial cells in a time-and concentration-dependent manner. Proteolytic enzymes, including urokinase (uPA) 1 and metalloproteinases, have been implicated in the pathogenesis of lung inflammation and the growth of lung tumors. These proteases facilitate remodeling of the transitional stroma via the breakdown of basement membranes and extracellular matrix proteins, including fibrin (1-3). Plasminogen activation can be mediated by urokinase-type (uPA) and tissue-type plasminogen activators. The former is mainly involved in extravascular proteolysis and is implicated in stromal remodeling and neoplasia. Plasminogen activator inhibitor type-1 (PAI-1), a member of the serpin family of serine protease inhibitors, binds and irreversibly inactivates both of these plasminogen activators (4), thereby regulating expression of plasminogen activator activity.PAI-1 also modulates cell adhesion to extracellular matrix both by preventing cell detachment as a consequence of excess plasmin formation (5), but also through its interaction with vitronectin (1, 6, 7). PAI-1 binds to vitronectin exposed at sites of vascular interruption (8). Binding of PAI-1 to vitronectin stabilizes its activity (9) and alters its proteolytic specificity (10, 11). In turn, PAI-1 exposes but transiently occludes the integrin binding site in vitronectin (12) and inhibits uPA-induced uPAR-mediated adhesion (13). Binding of uPA to PAI-1 lowers its affinity for vitronectin, restoring integrin binding, while promoting the affinity of uPA for the low density lipoprotein-related protein (14), which clears inactive complexes and recycles unoccupied uPAR to the cell surface (15, 16). Thus, orderly cell migration along the provisional matrix requires a coordinated interaction between the expression and localization of uPA, PAI-1, and their (sub)cellular binding sites. Theoretically, both untoward or premature proteolysis, or excessive or ineffective development of adhesion forces, could retard cell migration along a provisional matrix.It is then not surprising that pathologic overexpression of PAI-1 has been linked to a wide range of inflammatory and neoplastic lung diseases (4, 17). PAI-1 is secreted by epithelial cells of many normal tissues, including the lung (18).2 A defect of uPA-related fibrinolytic activity, in large part related to overexpression of PAI-1, has been associated with lung dysfunction in acute respiratory distress syndrome and interstitial lung diseases (20,21). There is also e...