The thrombospondins (TSPs) are a family of five secreted proteins that are
widely distributed in the extracellular matrix of numerous tissues. TSPs ar
e multimodular and each domain specifies a distinct biological function thr
ough interaction with a specific receptor. TSP1 and TSP2 have anti-angiogen
ic activity, which, at least for TSP1, involves interaction with the microv
ascular endothelial cell receptor CD36. Expression of TSP1 and TSP2 is modu
lated by hypoxia and by oncogenes. In several tumors (thyroid, colon, bladd
er carcinomas), TSP1 expression is inversely correlated with tumor grade an
d survival rate, whereas in others (e.g. breast carcinomas), it is correlat
ed with the stromal response and is of little prognostic value. Recent stud
ies suggest that TSPs or TSP-derived peptides retaining biological activity
could be developed into promising new therapeutic strategies for the anti-
angiogenic treatment of solid tumors.