sulfate side chains have a critical role in the inhibitory effects of perlecan on vascular smooth muscle cell response to arterial injury. Am J Physiol Heart Circ Physiol 307: H337-H345, 2014. First published May 23, 2014; doi:10.1152 doi:10. /ajpheart.00654.2013can is a proteoglycan composed of a 470-kDa core protein linked to three heparan sulfate (HS) glycosaminoglycan chains. The intact proteoglycan inhibits the smooth muscle cell (SMC) response to vascular injury. Hspg2 ⌬3/⌬3 (M⌬3/⌬3) mice produce a mutant perlecan lacking the HS side chains. The objective of this study was to determine differences between these two types of perlecan in modifying SMC activities to the arterial injury response, in order to define the specific role of the HS side chains. In vitro proliferative and migratory activities were compared in SMC isolated from M⌬3/⌬3 and wild-type mice. Proliferation of M⌬3/⌬3 SMC was 1.5ϫ greater than in wild type (P Ͻ 0.001), increased by addition of growth factors, and showed a 42% greater migratory response than wild-type cells to PDGF-BB (P Ͻ 0.001). In M⌬3/⌬3 SMC adhesion to fibronectin, and collagen types I and IV was significantly greater than wild type. Addition of DRL-12582, an inducer of perlecan expression, decreased proliferation and migratory response to PDGF-BB stimulation in wild-type SMC compared with M⌬3/⌬3. In an in vivo carotid artery wire injury model, the medial thickness, medial area/lumen ratio, and macrophage infiltration were significantly increased in the M⌬3/⌬3 mice, indicating a prominent role of the HS side chain in limiting vascular injury response. Mutant perlecan that lacks HS side chains had a marked reduction in the inhibition of in vitro SMC function and the in vivo arterial response to injury, indicating the critical role of HS side chains in perlecan function in the vessel wall.heparan sulfate proteoglycans; perlecan; arterial injury; smooth muscle cells PROTEOGLYCANS belong to a specific group of extracellular matrix proteins consisting of a core protein and glycosaminoglycans such as chondroitin sulfate, dermatan sulfate, heparan sulfate, or keratin sulfate (21). Proteoglycans regulate vascular smooth muscle cell (SMC) function by assembly and structure of the basement membrane, regulation of basement membrane permeability, growth factor activity, and cellular adhesion (14, 26).Perlecan is a member of the proteoglycan family that has heparan sulfate (HS) side chains, with three known HS-attachment sites in the NH 2 -terminal domain I. The effects of heparan sulfate proteoglycan (HSPG) depend on the specific sulfated form of HS produced, and its location. HS produced by SMC is known to be a potent inhibitor of SMC migration and proliferation (4,5,12). On the other hand, HS has also been crucial to the fibroblast growth factor (FGF)-induced stimulation of SMC (3, 27), as well as an enhancer of vascular endothelial growth factor (VEGF) activity (7), and cell adhesion (1). Hspg2 ⌬3/⌬3 (M⌬3/⌬3) mice, generated by deletion of exon 3 of mouse perlecan gene (Hspg2), co...