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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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Submitted August 14, 2006
Accepted October 20, 2006

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

Jeff S Isenberg, Fuminori Hyodo, Ken-Ichiro Matsumoto, Martin J Romeo, Mones Abu-Asab, Maria Tsokos, Periannan Kuppusamy, David A Wink, Murali C Krishna, and David D. Roberts*

Center for Cancer Research, National Cancer Institute, NIH
Dept of Internal Medicine, Ohio State University
NIH

* Corresponding author; email: droberts{at}helix.nih.gov.

The nitric oxide (NO)/cGMP pathway, by relaxing vascular smooth muscle cells, is a major physiological 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 pre-contracted 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 physiological 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 antagonistic relationship between NO/cGMP signaling and thrombospondin-1 in vascular smooth muscle cells to regulate vascular tone and tissue perfusion.


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