“…Yet, non-tumor (host) cells including T lymphocytes, B lymphocytes, neutrophils, monocyte/ macrophages (see Glossary), endothelial cells, osteoclasts and fibroblasts can also upregulate heparanase expression upon activation and thereby contribute not only to cancer progression and chemoresistance [5, 12, 30–34], but also to acute and chronic inflammation [35–37], autoimmunity [36, 38], atherosclerosis [39], tissue fibrosis [40], kidney dysfunction [41–44], ocular surface dysfunction [45], viral infection [46], diabetes [47] and diabetic complications [48, 49]. These functions dynamically impact multiple pathological pathways, but at the same time, may fulfill some normal functions associated, for example, with vesicular traffic, exosome formation, lysosomal-based secretion, stress response, and heparan sulfate turnover [50–52]. Noteworthy, heparanase appears to activate cells of the innate immune system and soluble HS fragments generated by heparanase trigger the expression and secretion of pro-inflammatory cytokines through toll-like receptors (TLR) [1, 53–55].…”