Proposed model for the role of Ltbp-4L and Ltbp-4S in elastogenesis. In the presence of Ltbp-4L and Ltbp-4S, microaggregation of tropoelastin, which is tethered to fibulin-4 and fibulin-5, deposits linearly onto microfibrils. Subsequent coalescence of tropoelastin takes place on microfibrils, resulting in fibrillar deposition of the tropoelastin–fibulin-4–fibulin-5 complex. In the absence of Ltbp-4S, the tropoelastin–fibulin-4–fibulin-5 complex only partly deposits on microfibrils, resulting in scattered fibrillar elastic fibers as well as amorphous aggregates of tropoelastin–fibulin-4–fibulin-5, which grow to form globular structures. In the absence of Ltbp-4L and Ltbp-4S, all tropoelastin–fibulin-4–fibulin-5 complexes form dysmorphous, non-fibrillar globular structures. Modified from Noda et al. (Noda et al., 2013).