Division of Pulmonary, Allergy and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
Ann Surg. 2013 Jul;258(1):184-91. doi: 10.1097/SLA.0b013e31827e52e1.
We tested the hypothesis that the matricellular protein thrombospondin-1 (TSP1), through binding to and activation of the cell receptor CD47, inhibits basal and thermal-mediated cutaneous blood flow.
Abnormal and decreased cutaneous blood flow in response to temperature changes or vasoactive agents is a feature of cardiovascular disease and aging. The reasons for decreased cutaneous blood flow remain incompletely understood. Furthermore, a role for matricellular proteins in the regulation skin blood flow has never been proposed.
C57BL/6 wild type, TSP1-null, and CD47-null 12- and 72-week-old male mice underwent analysis of skin blood flow (SkBF) via laser Doppler in response to thermal stress and vasoactive challenge.
Young and aged TSP1- and CD47-null mice displayed enhanced basal and thermal sensitive SkBF changes compared with age-matched wild type controls. Nitric oxide-mediated increases in SkBF were also greater in null mice. TSP1 and CD47 were expressed in skin from young wild type mice, and both were significantly upregulated in aged animals. Tissue 3',5'-cyclic guanosine monophosphate, a potent vasodilator, was greater in skin samples from null mice compared with wild type regardless of age. Finally, treating wild type animals with a CD47 monoclonal antibody that inhibits TSP1 activation of CD47 enhanced SkBF in both young and aged animals.
These results suggest that secreted TSP1, via its cognate receptor CD47, acutely modulates SkBF. These data further support therapeutically targeting CD47 to mitigate age-associated loss of SkBF and maximize wound healing.
我们检验了这样一个假设,即细胞外基质蛋白血小板反应蛋白-1(TSP1)通过与细胞受体 CD47 结合并激活该受体,抑制基础和热介导的皮肤血流。
对温度变化或血管活性物质反应的异常和减少的皮肤血流是心血管疾病和衰老的特征。减少皮肤血流的原因仍不完全清楚。此外,细胞外基质蛋白在调节皮肤血流中的作用从未被提出过。
12 周和 72 周龄的 C57BL/6 野生型、TSP1 缺失型和 CD47 缺失型雄性小鼠通过激光多普勒分析皮肤血流(SkBF),以响应热应激和血管活性挑战。
年轻和年老的 TSP1 和 CD47 缺失型小鼠与年龄匹配的野生型对照相比,表现出增强的基础和热敏 SkBF 变化。一氧化氮介导的 SkBF 增加在缺失型小鼠中也更大。TSP1 和 CD47 在年轻野生型小鼠的皮肤中表达,并且在老年动物中均显著上调。组织 3',5'-环鸟苷单磷酸,一种有效的血管扩张剂,在缺失型小鼠的皮肤样本中大于野生型,无论年龄大小。最后,用一种抑制 TSP1 激活 CD47 的 CD47 单克隆抗体处理野生型动物,增强了年轻和年老动物的 SkBF。
这些结果表明,分泌的 TSP1 通过其同源受体 CD47 急性调节 SkBF。这些数据进一步支持通过靶向 CD47 来减轻与年龄相关的 SkBF 丧失并最大限度地促进伤口愈合的治疗方法。