Focal adhesions: Paradigm for a signaling nexus

Lewis H. Romer, Konstantin G. Birukov, Joe G.N. Garcia

Research output: Contribution to journalReview articlepeer-review

197 Scopus citations


The vascular wall contains intimal endothelium and medial smooth muscle that act as contiguous tissues with tight spatial and functional coordination in response to tonic and episodic input from the bloodstream and the surrounding parenchyma. Focal adhesions are molecular bridges between the intracellular and extracellular spaces that integrate a variety of environmental stimuli and mediate 2-way crosstalk between the extracellular matrix and the cytoskeleton. Focal adhesion components are targets for biochemical and mechanical stimuli that evoke crucial developmental and injury response mechanisms including cell growth, movement, and differentiation, and tailoring of the extracellular microenvironment. Focal adhesions provide the vascular wall constituents with flexible and specific tools for exchanging cues in a complex system. The molecular mechanisms that underlie these vital communications are detailed in this review with the goal of defining future targets for vascular tissue engineering and for the therapeutic modulation of disordered vascular growth, inflammation, thrombosis, and angiogenesis.

Original languageEnglish (US)
Pages (from-to)606-616
Number of pages11
JournalCirculation research
Issue number5
StatePublished - Mar 2006


  • Cell adhesion
  • Cell signaling
  • Extracellular matrix
  • Focal adhesion
  • Integrin
  • Mechanical force
  • Vascular endothelium
  • Vascular smooth muscle

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine


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