Abstract: Objectives To detect the level of matrix metalloproteinase-2 (MMP-2) mRNA and the tissue inhibitor of metalloproteinase-2 (TIMP-2) mRNA in bladder transitional cell ca rcinoma (BTCC), and to estimate the prognosis for bladder tumor based on the qua lity and quantity of MMP-2 and TIMP-2 mRNA.Methods Thirty-five samples of human BTCC and 15 normal fresh bladder tissues were stud ied by RT-PCR analysis followed by computer-assisted image analysis.Results The level of the MMP-2 mRNA in BTCC was significantly increased compared with t hat in normal bladder epithelium. The positive rates of MMP-2 and TIMP-2 mRNA were 71.4% and 65.7% in BTCC, and 66.7% and 60.0% in the normal bladder wal l. The expression intensity of the MMP-2 mRNA by image analysis tended to incr ease with tumor grading and staging, which showed statistical significance. Sim ilarly, the MMP-2 to TIMP-2 ratio also showed statistically significant differ ence between normal bladder tissue and bladder carcinoma (P<0.01).Conclusions A high level of the MMP-2 mRNA exists in BTCC, which may function to damage col lagen Ⅳ inside the basement membrane and the extracellular basement of the blad der. The level of the MMP-2 mRNA is proportional to BTCC grading and staging, which may have prognostic value. The MMP-2 to TIMP-2 ratio may play a more si gnificant role in the determination of the aggressiveness and prognosis of bladd er tumor.