Overexpression of kallikrein 7, a proteolytic enzyme important for epithelial cell shedding, may be causally involved in carcinogenesis, particularly in tumor metastasis and invasion. In this study, we have evaluated hK7 (human kallikrein 7) protein levels by immunohistochemistry in 367 cervical histological samples including 35 cases of cervicitis, 31 low-grade cervical intraepithelial neoplasia, 51 high-grade cervical intraepithelial neoplasia (H-SIL), 197 squamous cervical carcinomas (SCC) and 53 cervical adenocarcinomas. We have observed that hK7 staining increased with the severity of cervical disease. Intense hK7 staining was found in 15.2% of cervicitis samples, in contrast to 55% of H-SIL and 68% of SCC. Moreover, 92.5% of adenocarcinomas also exhibited intense hK7 staining. Differences in the expression of hK7 could potentially be used as a biomarker for the characterization of different stages of cervical disease.Cervical cancer is the second leading cancer in women worldwide. Current estimates indicate that $494,000 women are diagnosed with cervical cancer worldwide and almost 274,000 die from the disease every year. 1,2 It has been recognized that persistent infection with high-risk (HR) human papillomavirus (HPV) types (16,18,31,33,35,39,45, 51, 52, 56, 58, 59 and 68) is a necessary cause for the development of preinvasive and invasive cervical cancer (ICC). 3 Although HPV infection has a prevalence of about 20-40% among sexually active and cytological normal women, 93-99.7% of cervical cancers are positive for HR-HPV. 4,5 There are 2 main histological types of ICC: squamous cell carcinomas (SCC) and adenocarcinomas. The incidence of SCC in developed countries has significantly decreased because of cytology screening (Pap test). However, invasive cases still occur because Pap test results may have a high variability owing to its subjective morphological criteria. Moreover, the proportion of adenocarcinomas has increased because Pap test is not as efficacious in detecting this lesion. 6-8 Therefore, the identification of new biomarkers for the presence of cervical dysplasia, SCC and adenocarcinomas could improve the detection of lesions with higher risk of progression.We have previously shown that HPV18-immortalized keratinocytes exhibit higher KLK7 transcript levels when compared with normal and HPV16-immortalized human keratinocytes. 9 Recent data suggest that kallikreins may be causally involved in carcinogenesis, particularly in tumor metastasis and invasion. [10][11][12] The protein kallikrein 7 (hK7), also known as human stratum corneum chymotryptic enzyme, is a secreted chymotrypsin-like serine protease first identified in human skin extracts. 13,14 Although it has been shown that this protein is involved in degradation of several components of the extracellular matrix, such as desmoglein-1, desmocollin-1, corneodesmossomes and fibronectin, its role in human malignancies remains unclear. [15][16][17][18][19] High hK7 expression (messenger RNA and/or protein level) has been observed in breast...