Toba H, de Castro Brás LE, Baicu CF, Zile MR, Lindsey ML, Bradshaw AD. Secreted protein acidic and rich in cysteine facilitates age-related cardiac inflammation and macrophage M1 polarization. Am J Physiol Cell Physiol 308: C972-C982, 2015. First published April 15, 2015; doi:10.1152/ajpcell.00402.2014.-To investigate the role of secreted protein acidic and rich in cysteine (SPARC) in age-related cardiac inflammation, we studied six groups of mice: young (3-5 mo old), middle-aged (10 -12 mo old), and old (18 -29 mo old) C57BL/6 wild-type (WT) and SPARC-null (Null) mice (n ϭ 7-10/group). Cardiac function and structure were determined by echocardiography. The left ventricle was used for cytokine gene array and macrophage quantification by immunohistochemistry. Macrophage infiltration increased with age in WT (n ϭ 5-6/group, P Ͻ 0.05 for young vs. old), but not in Null. Proinflammatory markers (Ccl5, Cx3cl1, Ccr2, and Cxcr3) increased in middle-aged and old WT, whereas they were increased only in old Null compared with respective young (n ϭ 5-6/group, P Ͻ 0.05 for all). These results suggest that SPARC deletion delayed age-related cardiac inflammation. To further assess how SPARC affects inflammation, we stimulated peritoneal macrophages with SPARC (n ϭ 4). SPARC treatment increased expression of proinflammatory macrophage M1 markers and decreased anti-inflammatory M2 markers. Echocardiography (n ϭ 7-10/group) revealed an age-related increase in wall thickness of the left ventricle in WT (0.76 Ϯ 0.02 mm in young vs. 0.91 Ϯ 0.03 mm in old; P Ͻ 0.05) but not in Null (0.78 Ϯ 0.01 mm in young vs. 0.84 Ϯ 0.02 mm in old). In conclusion, SPARC deletion delayed age-related increases in macrophage infiltration and proinflammatory cytokine expression in vivo and in vitro. SPARC acts as an important mediator of age-related cardiac inflammation by increasing the expression of macrophage M1 markers and decreasing M2 markers.