“…In contrast to their attributed role in exterminating the tumour, recruited inflammatory cells have been reported to be associated with tumour progression as well (Scholl et al, 1994;Yamashita et al, 1994Yamashita et al, , 1996Shamamian et al, 2000Shamamian et al, , 2001. The responsible protease is thought to be PMN-elastase (PMN-E), a serine protease that can degrade various components of the extracellular matrix directly (Janoff and Schere, 1968;Mainardi et al, 1980;McDonald and Kelley, 1980;Barrett, 1981), or indirectly through either the activation of other proteases (Machovich and Owen, 1990;Shamamian et al, 2001) or the inactivation of their inhibitors (Levin and Santell, 1987;Gramse et al, 1984;Wu et al, 1995). Furthermore, it has been shown that PMN-E is not only produced by neutrophils but by human breast cancer cells as well (Kao and Stern, 1986;Yamashita et al, 1994), and moreover can promote the adhesion of tumour cells to vascular endothelial cells facilitating its role in tumour metastasis (Nozawa et al, 2000).…”