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Blood, 1 March 2007, Vol. 109, No. 5, pp. 1945-1952.
Prepublished online as a Blood First Edition Paper on November 2, 2006; DOI 10.1182/blood-2006-08-041368.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Thrombospondin-1 limits ischemic tissue survival by inhibiting nitric oxide–mediated vascular smooth muscle relaxation

Jeff S. Isenberg1, Fuminori Hyodo2, Ken-Ichiro Matsumoto2, Martin J. Romeo1, Mones Abu-Asab1, Maria Tsokos1, Periannan Kuppusamy3, David A. Wink2, Murali C. Krishna2, and David D. Roberts1

1 Laboratory of Pathology and 2 Radiation Biology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD; 3 Davis Heart & Lung Research Institute, Department of Internal Medicine, The Ohio State University, Columbus

The nitric oxide (NO)/cGMP pathway, by relaxing vascular smooth muscle cells, is a major physiologic regulator of tissue perfusion. We now identify thrombospondin-1 as a potent antagonist of NO for regulating F-actin assembly and myosin light chain phosphorylation in vascular smooth muscle cells. Thrombospondin-1 prevents NO-mediated relaxation of precontracted vascular smooth muscle cells in a collagen matrix. Functional magnetic resonance imaging demonstrated that an NO-mediated increase in skeletal muscle perfusion was enhanced in thrombospondin-1–null relative to wild-type mice, implicating endogenous thrombospondin-1 as a physiologic antagonist of NO-mediated vasodilation. Using a random myocutaneous flap model for ischemic injury, tissue survival was significantly enhanced in thrombospondin-1–null mice. Improved flap survival correlated with increased recovery of oxygen levels in the ischemic tissue of thrombospondin-1–null mice as measured by electron paramagnetic resonance oximetry. These findings demonstrate an important antag-onistic relation between NO/cGMP signaling and thrombospondin-1 in vascular smooth muscle cells to regulate vascular tone and tissue perfusion.


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