TABLE 1

Main ECM molecules, some of their functional roles, and selected genetic and other diseases related to individual molecules

Group Distribution/Function Genetic Disease(s) Other disease(s)
Collagens
   Fibrillar collagens
      I Structural component of all tissues except cartilage; e.g. bone, dermis (Gelse et al., 2003), vessel wall (Katsuda et al., 1992; Rauterberg et al., 1993), and heart (Marijianowski et al., 1994) Osteogenesis imperfecta (Bonadio and Byers, 1985); classic type Ehlers-Danlos syndrome (Nuytinck et al., 2000) Atherosclerosis (Katsuda et al., 1992; Rauterberg et al., 1993); hypertensive heart disease (López et al., 2001; Díez et al., 2005); fibrotic diseases including chronic kidney diseases (Alexakis et al., 2006)
      II Predominant component of cartilage (Bruckner and van der Rest, 1994); mediates interactions with proteoglycans (Mayne, 1989) Stickler syndrome type I (Maumenee, 1979; Ahmad et al., 1991); spondyloepiphyseal dysplasia (Tiller et al., 1995); achondrogenesis (Eyre et al., 1986); Kniest dysplasia (Winterpacht et al., 1993) Osteoarthritis (Nelson et al., 1998)
      III Dominant collagen type of granulation tissue, and also, e.g., muscles and artery wall (Katsuda et al., 1992; Linehan et al., 2001); produced by young fibroblasts before type I collagen (Voermans et al., 2008) Vascular Ehlers-Danlos syndrome (Pope et al., 1975; Pepin et al., 2000) Atherosclerosis (Katsuda et al., 1992); hypertensive heart disease (Díez et al., 2005); fibrotic diseases, e.g. chronic kidney diseases (Alexakis et al., 2006)
      V Structural component of basement membrane (Graham et al., 2008); interacts with type I collagen (Birk, 2001); inhibits endothelial cell adhesion, proliferation (Fukuda et al., 1988), and adhesion (Hashimoto et al., 1991) Classic type Ehlers-Danlos syndrome (Nicholls et al., 1996; Richards et al., 1998) Atherosclerosis (Katsuda et al., 1992); collagenofibrotic glomerulopathy (Morita et al., 2003); bronchiolitis obliterans syndrome (Burlingham et al., 2007)
      XI Structural component of articular cartilage (Mayne, 1989) and ear (Nerlich, 1995); modulates cartilage matrix homeostasis (Eyre, 2004) Stickler syndrome type II (Richards et al., 1996) and type III (Brunner et al., 1994); Marshall syndrome (Majava et al., 2007b); otospondylomegaepiphyseal dysplasia (Melkoniemi et al., 2000) Disc herniation (Mio et al., 2007)
   Nonfibrillar collagens
      IV Structural component of basement membrane (LeBleu et al., 2007); e.g., in kidney (Smith et al., 1989); associated with angiogenesis (Xu et al., 2001) Alport syndrome (Barker et al., 1990); hereditary angiopathy (Breedveld et al., 2006) Diabetic nephropathy (Cohen et al., 2001); organ or tumor fibrosis (Kalluri, 2003); cancer progression (Tanjore and Kalluri, 2006)
      VIII Structural component of extracellular matrices, e.g. in sclera (Shuttleworth, 1997) and vasculature (Plenz et al., 2003); involved in stabilization of membranes, angiogenesis and interacts with ECM molecules (Sutmuller et al., 1997; Plenz et al., 2003) Corneal endothelial dystrophy, e.g., Fuchs' endothelial dystrophy (Biswas et al., 2001) Atherosclerosis (Plenz et al., 2003); tumor progression (Koon et al., 2004)
      X Structural component of hypertrophic cartilage (Gelse et al., 2003); regulates matrix mineralization and compartmentalization of ECM components (Shen, 2005) Schmid-type metaphyseal chondroplasia (Warman et al., 1993) Osteochondritis dissecans (Aurich et al., 2006)
   Association collagens
      VI Dominant structural component of connective tissue; e.g., in vessels, liver (von der Mark et al., 1984), and muscle (Engvall et al., 1986) Muscle disorders, e.g., myosclerosis myopathy (Merlini et al., 2008b) Atherosclerosis (Katsuda et al., 1992)
      VII Structural component of basement membrane (Sakai et al., 1986); interacts with other ECM components (Keene et al., 1987) Dystrophic epidermolysis bullosa (Hovnanian et al., 1992) Epidermolysis bullosa acquisita (Chen et al., 2007)
      IX Structural component of cartilage (Olsen, 1997); interacts with collagen type II (Eyre, 2004) Stickler syndrome (Van Camp et al., 2006); multiple epiphyseal dysplasia (Bönnemann et al., 2000); Scheuermann disease (Karppinen et al., 2003)
      XII Structural component of connective tissue, e.g., in skin (Wälchli et al., 1994); interacts with other matrix components (Voermans et al., 2008) Diabetic retinopathy (Ljubimov et al., 1996); keratoconus (Cheng et al., 2001)
      XIV Structural component of connective tissue, e.g., in blood vessels (Castagnola et al., 1992); interacts with other ECM components (Ehnis et al., 1997) Diabetic retinopathy (Ljubimov et al., 1996)
      XIX Structural component of basement membrane (Myers et al., 1997); associated with muscle cells (Myers et al., 1999) Rhabdomyosarcomas (Myers et al., 1999); breast cancer (Amenta et al., 2003)
   Transmembrane collagens
      XIII Structural component of, e.g., skin (Peltonen et al., 1999); interacts with other ECM components, e.g., proteoglycans (Michelacci, 2003) Tumor development (Väisänen et al., 2005); thyroid-associated ophthalmopathy (Yamada et al., 2000)
      XVII Structural component of cutaneous basement membrane (Uitto and Pulkkinen, 1996); involved in cell-matrix adhesion (Van den Bergh and Giudice, 2003) Non-Herlitz junctional epidermolysis bullosa (Bauer and Lanschuetzer, 2003)
   Multiplexins
      XV Structural component of basement membrane (Myers et al., 1996); acts as structural organizer of ECM (Amenta et al., 2005) Tumorigenesis (Amenta et al., 2003, Fukushige et al., 2005)
      XVIII Structural component of basement membrane (Saarela et al., 1998); inhibition angiogenesis and tumor growth (Myllyharju and Kivirikko, 2001) Knobloch syndrome (Suzuki et al., 2002) Fibrotic diseases, e.g., liver fibrosis (Musso et al., 1998)
Elastin and microfibrillar proteins
   Elastin Structural component of elastic fibers (Rosenbloom et al., 1993); provides elasticity to different tissues, e.g., lungs, large blood vessels, and dermis (Ross, 1973) Supravalvular aortic stenosis (Ewart et al., 1993); cutis laxa (Tassabehji et al., 1998); Williams-Beuren syndrome (Milewicz et al., 2000) Hypertension (Martyn and Greenwald, 1997); pulmonary emphysema (Snider et al., 1991); arterial aneurysms (Alberto et al., 2008)
   Fibrillin 1 Major structural component of microfibrils together with fibrillin-2 (Ramirez and Pereira, 1999); involved in tissue homeostasis (Zhang et al., 1995) Marfan's syndrome (Robinson and Booms, 2001); Shprintzen-Goldberg syndrome (Sood et al., 1996); Weill-Marchesani syndrome (Faivre et al., 2003) Atherosclerosis (Seyama and Wachi, 2004); pulmonary emphysema (Robbesom et al., 2008)
   Fibrillin 2 Major structural component of microfibrils together with fibrillin-1 (Ramirez and Pereira, 1999) Congenital contractural arachnodactyly (Beals and Hecht, 1971)
   Fibulin 1 Structural component of basement membranes (Pan et al., 1993a); interacts with other ECM molecules, e.g., laminins (Timpl and Brown, 1994); modulates platelet adhesion (Godyna et al., 1996) Synpolydactyly (Debeer et al., 2002); autosomal recessively inherited vitreoretinal dystrophy (Weigell-Weber et al., 2003) Prostate cancer (Wlazlinski et al., 2007); gastric cancer (Cheng et al., 2008)
   Fibulin 2 Structural component of basement membranes (Pan et al., 1993b); involved in vasculogenesis and angiogenesis (Tsuda et al., 2001) Breast cancer progression (Yi et al., 2007)
   Fibulin 3 Structural component of blood vessels (Giltay et al., 1999) Macular degenerative disease (Klenotic et al., 2004)
   Fibulin 4 Structural component of blood vessels (Giltay et al., 1999) Cutis laxa (Hucthagowder et al., 2006) Colon tumorigenesis (Gallagher et al., 2001); prostate cancer (Wlazlinski et al., 2007)
   Fibulin 5 Organizer of elastic fibers (Yanagisawa et al., 2002); regulator of angiogenesis (Kowal et al., 1999); associated with suppression of tumorigenesis (Albig and Schiemann, 2005) Cutis laxa (Loeys et al., 2002); age-related macular degeneration (Stone et al., 2004) Prostate cancer (Wlazlinski et al., 2007)
   Fibulin 6 Organizer in cell-cell and cell-matrix interactions (Vogel and Hedgecock, 2001) Macular degeneration (Schultz et al., 2003)
   Fibulin 7 Cell adhesion molecule, associated with, e.g., dentin formation (de Vega et al., 2007)
   Emilin 1 Microfibril-associated protein (Mongiat et al., 2000); involved in vascular cell morphology and elastogenesis (Zanetti et al., 2004) Hypertension (Raman and Cobb, 2006)
Proteoglycans and glycosaminoglycans
   Hyaluronan Major structural carbohydrate component of the ECM (Chen and Abatangelo, 1999); involved in angiogenesis, cell motility, wound healing and cell adhesion (Stuhlmeier, 2006) Tumorigenesis (Auvinen et al., 2000; Hiltunen et al., 2002; Toole, 2002; Heldin et al., 2008); atherosclerosis and restenosis (Wight, 2008); inflammatory bowel disease (de La Motte et al., 1999; de la Motte et al., 2003)
   Hyalectans
      Aggrecan Structural component of articular cartilage (Dudhia, 2005); interacts with hyaluronan (Kiani et al., 2002) Intervertebral disc degeneration (Solovieva et al., 2007); spondyloepiphyseal dysplasia (Gleghorn et al., 2005) Osteoarthritis (Fosang and Little, 2008)
      Brevican Abundant proteoglycan in adult brain (Yamaguchi, 1996) Tumor progression (Hu et al., 2008)
      Neurocan Structural component of the ECM of brain (Grumet et al., 1996); interacts with other ECM molecules and cell surface receptors (Rauch et al., 2001)
      Versican Structural component of the ECM, e.g., in blood vessels (Kenagy et al., 2006); mediates cell adhesion and migration (Ang et al., 1999) Erosive vitreoretinopathy and Wagner disease (Mukhopadhyay et al., 2006) Atherosclerosis and restenosis (Wight and Merrilees, 2004); tumorigenesis (Nara et al., 1997; Suwiwat et al., 2004) and metastasis (Kim et al., 2009)
   Small leucine-rich proteoglycans (SLRPs)
      Asporin Structural component of articular cartilage (Lorenzo et al., 2001) Osteoarthritis (Kizawa et al., 2005) Bone and joint diseases (Ikegawa, 2008)
      Biglycan Structural component of, e.g., vascular wall (Williams, 2001); binds growth factors such as TGF-β and regulates its activity (Hildebrand et al., 1994) Abdominal aortic aneurysms (Tamarina et al., 1998)
      Decorin Structural component of, e.g., skin (Reed and Iozzo, 2002) and vascular wall (Williams, 2001); regulates collagen fibrillogenesis (Zhang et al., 2006); binds growth factors such as TGF-β and neutralizes its activity (Yamaguchi et al., 1990); involved in angiogenesis (Järveläinen et al., 1992 and 2006) Congenital stromal dystrophy (Bredrup et al., 2005) Tumorigenesis (Grant et al., 2002; Goldoni et al., 2008; Salomäki et al., 2008); osteoarthritis (Melrose et al., 2008); renal disease (Schaefer et al., 1998 and 2001)
      Fibromodulin Binds to specific collagen types (Hedbom and Heinegård, 1989) and regulates their fibril formation (Svensson et al., 1999); binds growth factors such as TGF-β and regulates its activity (Hildebrand et al., 1994) Myopia (Majava et al., 2007a) Osteoarthritis (Melrose et al., 2008)
      Keratocan Structural component of e.g. cornea (Kao and Liu, 2002) Cornea plana (Pellegata et al., 2000) Osteoarthritis (Melrose et al., 2008)
      Lumican Structural component of e.g. cornea (Kao and Liu, 2002) Myopia (Wang et al., 2006; Majava et al., 2007a) Fibrosis and tumor growth (Naito, 2005); atherosclerosis (Onda et al., 2002)
      Osteoadherin Promotes αv/β3-integrin mediated cell binding (Wendel et al., 1998); regulation of complement activation (Sjöberg et al., 2009)
      PRELP Anchors basement membranes to the underlying connective tissue (Bengtsson et al., 2002) Myopia (Majava et al., 2007a)
      Epiphycan Involved in chondrogenesis (Knudson and Knudson, 2001)
      Opticin Component of the vitreous humour of the eye (Reardon et al., 2000) and cartilage (Monfort et al., 2008) Myopia (Majava et al., 2007a); primary open angle glaucoma (Acharya et al., 2007)
      Osteoglycin/Mimecan Component of the vascular wall (Shanahan et al., 1997); regulation of collagen fibrillogenesis (Tasheva et al., 2002)
      Chondroadherin Component of the cornea, brain, and skeletal muscle, retina and lens (Tasheva et al., 2004); regulates chondrocyte growth and proliferation (Shen et al., 1998)
      Nyctalopin Essential for retinal synaptic transmission (Bahadori et al., 2006) Congenital stationary night blindness (Bech-Hansen et al., 2000; Pusch et al., 2000)
      Tsukushi Bone morphogenic protein antagonist (Ohta et al., 2004)
      Podocan Component of glomeruli (Ross et al., 2003) Glomerulosclerosis (Ross et al., 2003)
      Podocan like protein 1 Facilitates nephrin signaling (Huber et al., 2001)
   Basement membrane proteoglycans
      Agrin Modulator of synaptogenesis (Bezakova and Ruegg, 2003; Williams et al., 2008) Cirrhosis and hepatocellular carcinoma (Tátrai et al., 2006); Alzheimer's disease (Berzin et al., 2000)
      Bamacan Structural component of basement membrane (Couchman et al., 1996) Diabetic retinopathy (Ljubimov et al., 1996)
      Perlecan Structural component of basement membrane (Iozzo, 1994); regulates, e.g., cell migration and proliferation (Whitelock et al., 2008); involved in angiogenesis (Bix and Iozzo, 2008) Dyssegmental dysplasia (Silverman-Handmaker type) (Arikawa-Hirasawa et al., 2001); Schwartz-Jampel syndrome (Arikawa-Hirasawa et al., 2002) Diabetic retinopathy (Ljubimov et al., 1996); tumor growth (Mathiak et al., 1997); Alzheimer's disease (Castillo et al., 1997)
   Other extracellular proteoglycans
      PG-100 Proteoglycan form of colony-stimulating factor-1 (Partenheimer et al., 1995) Hepatitis and liver fibrosis (Högemann et al., 1997)
      Testican-1, -2, and -3 Inhibition of different proteases (Nakada et al., 2003; Edgell et al., 2004) Testican-3: T-cell leukemia (Kamioka et al., 2009)
Noncollagenous ECM glycoproteins
   Fibronectins (>20 different isoforms) Involved in cellular adhesion (Akiyama et al., 1981), fibril (Kadler et al., 2008) and ECM assembly (Couchman et al., 1990), tissue injury and inflammation (Satoi et al., 1999; Okamura et al., 2001); regulation of vascular morphogenesis including angiogenesis (Astrof and Hynes, 2009) Glomerulopathy (Castelletti et al., 2008) Idiopathic pulmonary fibrosis (Kuhn and McDonald, 1991); cancer (Korc, 2007; Astrof and Hynes, 2009); tendinopathy (Riley, 2007)
   Laminins Involved in cell adhesion, migration and differentiation (Colognato and Yurchenco, 2000; Patarroyo et al., 2002) Congenital muscular dystrophy (Hall et al., 2007); epidermolysis bullosa (Uitto et al., 1994); Pierson syndrome (Zenker et al., 2004) Tumor progression (Ziober et al., 1996; Ono et al., 1999, Rabinovitz et al., 2001; Nelson et al., 2008)
   SPARC (secreted protein, acidic and rich in cysteine) Inhibition of cell proliferation (Yan and Sage, 1999) and angiogenesis (Chlenski et al., 2006) Tumor progression and metastasis (Porter et al., 1995; Watkins et al., 2005; Clark and Sage, 2008; Podhajcer et al., 2008); idiopathic osteoporosis (Delany et al., 2008)
   Tenascins (tenascin-C, -R, -X, and -W) Involved in cell adhesion, migration and growth (Chiquet-Ehrismann and Chiquet, 2003), wound healing, and neovascularization (Hsia and Schwarzbauer, 2005; Trebaul et al., 2007) Ehlers-Danlos syndrome (Burch et al., 1997; Mao and Bristow, 2001) Fibrotic diseases, inflammation, tumorigenesis (Chiquet-Ehrismann and Chiquet, 2003)
   Thrombospondins (1–5) Involved in cell migration (Yabkowitz et al., 1993), platelet aggregation, inflammatory response, and wound healing (Adams and Lawler, 2004) Thrombospondin-5; pseudoachondroplasia and multiple epiphyseal dysplasia (Posey et al., 2008) Tumor progression (Lawler and Detmar, 2004; Kazerounian et al., 2008); atherosclerosis (Roth et al., 1998; Takahashi et al., 2008)
   Nidogen/entactin (nidogen 1 and nidogen 2) Involved in cell adhesion (Yi et al., 1998; Grimpe et al., 1999), wound healing (Sephel et al., 1996) and basement membrane stabilization (Ho et al., 2008) Osteoarthritis (Kruegel et al., 2008); cancer and tumor progression (Oivula et al., 1999; Ulazzi et al., 2007; Douglas et al., 2008)