In the small bowel, Paneth cells at the base of the crypts of Lieberkühn secrete ␣-defensins and additional antimicrobial peptides at high levels in response to cholinergic stimulation and when exposed to bacterial antigens (1-4). Paneth cell ␣-defensins show broad spectrum antimicrobial activities and constitute the majority of bactericidal peptide activity in Paneth cell secretions (2, 5-7). The release of Paneth cell products into the crypt lumen is inferred to protect mitotically active crypt cells from colonization by potential pathogens and to confer protection from enteric infection (2, 8 -10). The most compelling evidence for a Paneth cell role in enteric innate immunity is evident from studies of mice transgenic for a human Paneth cell ␣-defensin, HD-5, which are completely immune to infection and systemic disease from orally administered Salmonella enterica serovar typhimurium (11).The biosynthesis of ␣-defensins requires post-translational activation by lineage-specific proteinases (12, 13). Although the enzymes that mediate pro-␣-defensin processing in myeloid and epithelial cells differ, the overall processing schemes are the same. Both myeloid and Paneth cell ␣-defensins derive from ϳ10-kDa prepropeptides that contain canonical signal sequences, electronegative proregions, and a 3.5-4-kDa mature ␣-defensin peptide in the C-terminal portion of the precursor (13-16). Pro-␣-defensin processing in mouse Paneth cells is catalyzed by matrix metalloproteinase-7 (MMP-7) 3 and takes place intracellularly and prior to secretion (17,18). In mouse small intestinal epithelium, only Paneth cells express MMP-7 as components of dense core secretory granules (12), and the bactericidal activity of mouse Paneth cell ␣-defensins depends completely on activation of 8.4-kDa pro-Crps by MMP-7-catalyzed proteolysis (12, 18). MMP-7 gene disruption ablates pro-Crp processing such that mature, activated Crp peptides are absent from the small intestine, and innate immunity to oral bacterial infection is impaired in MMP-7-null mice (12).