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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 oxidemediated 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-1null 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-1null mice. Improved flap survival correlated with increased recovery of oxygen levels in the ischemic tissue of thrombospondin-1null 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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