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Updated: Jun 8, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Thrombospondin-4 regulates vascular inflammation and atherogenesis
Ella G Frolova1, Elzbieta Pluskota, Irene Krukovets
1Department of Molecular Cardiology and Joseph J. Jacob Center for Thrombosis and Vascular Biology, Lerner Research Institute, Cleveland Clinic, Ohio 44195, USA.
Insights
Thrombospondin-4 (TSP-4) deficiency significantly reduces atherosclerotic lesion development in mice by decreasing macrophage recruitment and inflammation. This study highlights TSP-4
Area of Science:
- Cardiovascular Biology
- Extracellular Matrix Research
- Immunology
Background:
- Thrombospondin (TSP)-4 is an extracellular protein implicated in cardiovascular pathologies.
- Its specific role in vascular wall biology and atherosclerosis has remained largely unknown.
Purpose of the Study:
- To investigate the impact of TSP-4 gene (Thbs4) knockout on the development of atherosclerotic lesions.
- To elucidate the mechanisms by which TSP-4 influences vascular inflammation and lesion progression.
Main Methods:
- Utilized ApoE(-/-) mice with and without TSP-4 gene knockout (Thbs4(-/-)/ApoE(-/-)).
- Administered both chow and Western diets to assess lesion development.
- Quantified lesion size, macrophage infiltration, and inflammatory markers (MCP-1, p38 activation).
- Performed in vitro studies using purified recombinant TSP-4 to assess macrophage adhesion and migration.
Main Results:
- TSP-4 deficiency significantly reduced atherosclerotic lesion size in both male and female mice across different diets (e.g., 48% reduction in aortic root lesions in female Thbs4(-/-)/ApoE(-/-) on chow diet).
- TSP-4 was found to be abundant in atherosclerotic lesions and areas prone to their development.
- Macrophage infiltration into lesions decreased by at least twofold in TSP-4 deficient mice.
- TSP-4 deficiency reduced endothelial cell activation, monocyte chemoattractant protein-1 production, and p38 activation.
- In vitro, TSP-4 dose-dependently increased macrophage adhesion (up to 7-fold) and migration (up to 4.7-fold) via p38-MAPK and integrin signaling (β2 and β3).
Conclusions:
- TSP-4 is a key component of atherosclerotic lesions and contributes to atherogenesis.
- TSP-4 promotes macrophage recruitment and infiltration by activating endothelial cells and directly enhancing macrophage adhesion and migration.
- Targeting TSP-4 may represent a novel therapeutic strategy for mitigating atherosclerosis and related inflammatory vascular diseases.
Rationale:
Thrombospondin (TSP)-4 is an extracellular protein that has been linked to several cardiovascular pathologies. However, a role for TSP-4 in vascular wall biology remains unknown.
Objective:
We have examined the effects of TSP-4 gene (Thbs4) knockout on the development of atherosclerotic lesions in ApoE(-/-) mice.
Methods And Results:
Deficiency in TSP-4 reduced atherosclerotic lesions: at 20 weeks of age, the size of the aortic root lesions in Thbs4(-/-)/ApoE(-/-) mice was decreased by 48% in females and by 39% in males on chow diets; in mice on Western diets, lesions in the descending aorta were reduced by 30% in females and 33% in males. In ApoE(-/-) mice, TSP-4 was abundant in vessel areas prone to lesion development and in the matrix of the lesions themselves. TSP-4 deficiency reduced the number of macrophages in lesions in all groups by ≥ 2-fold. In addition, TSP-4 deficiency reduced endothelial cell activation (expression of surface adhesion molecules) and other markers of inflammation in the vascular wall (decreased production of monocyte chemoattractant protein-1 and activation of p38). In vitro, both the adhesion and migration of wild-type macrophages increased in the presence of purified recombinant TSP-4 in a dose-dependent manner (up to 7- and 4.7-fold, respectively). These responses led to p38-MAPkinase activation and were dependent on β(2) and β(3) integrins, which recognize TSP-4 as a ligand.
Conclusions:
TSP-4 is abundant in atherosclerotic lesions and in areas prone to development of lesions and may influence the recruitment of macrophages by activating endothelial cells and directly interacting with macrophages to increase their adhesion and migration. Our observations suggest an important role for this matricellular protein in the local regulation of inflammation associated with atherogenesis.
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