Autocrine overexpression of CTGF maintains fibrosis: RDA analysis of fibrosis genes in systemic sclerosis

Exp Cell Res. 2000 Aug 25;259(1):213-24. doi: 10.1006/excr.2000.4972.


We have used representational difference analysis (RDA) to identify up-regulated genes in skin fibroblasts from fibrotic lesions obtained from patients with systemic sclerosis (scleroderma). RDA of cDNA libraries derived from fibroblasts from involved and uninvolved skin detected several differentially expressed genes. One such gene consistently up-regulated in scleroderma cells coded for human connective tissue growth factor (CTGF). Other studies described here show that the CTGF protein is readily detected in cultures of systemic sclerosis fibroblasts but was not detected in comparable normal cells. High levels of CTGF are also evident in biological fluids from patients with systemic sclerosis. TGFbeta stimulates CTGF production in both normal and systemic sclerosis fibroblasts with the latter found to be higher producers. Moreover, an analysis of constitutive and TGFbeta-induced CTGF gene activation showed altered and elevated transcriptional responses in systemic sclerosis cells compared with controls. CTGF stimulated a two- to threefold increase in proalpha1(I) collagen and fibronectin synthesis by both dermal and lung fibroblasts in culture and promoted significant matrix remodeling of fibroblast-populated three-dimensional collagen lattices. A direct relation between the overexpression of CTGF and elevated collagen synthesis was suggested by the observation that transfection of a CMV-CTGF cDNA construct and protein expression in fibroblasts increased the transcription of a Col 1alpha2 promoter-reporter construct to levels seen in systemic sclerosis fibroblasts. Using Col 1alpha2 promoter deletion constructs the CTGF responsive element was localized to the first 379 bp upstream of the transcriptional start site. These data indicate that there is an overexpression of CTGF in the systemic sclerosis cells, probably due to increased gene transcription, and suggest that the dysregulation of CTGF production is an important factor in fibroblast activation and the excessive deposition of collagen in systemic sclerosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3T3 Cells
  • Animals
  • Autocrine Communication / physiology
  • Base Sequence
  • Bronchoalveolar Lavage Fluid / cytology
  • Connective Tissue Growth Factor
  • Extracellular Matrix Proteins / biosynthesis
  • Fibrosis
  • Gene Expression Regulation / drug effects
  • Gene Expression Regulation / physiology
  • Gene Transfer Techniques
  • Growth Substances / analysis
  • Growth Substances / genetics*
  • Humans
  • Immediate-Early Proteins / analysis
  • Immediate-Early Proteins / genetics*
  • In Vitro Techniques
  • Intercellular Signaling Peptides and Proteins*
  • Mice
  • Molecular Biology / methods
  • Molecular Sequence Data
  • Phenotype
  • Promoter Regions, Genetic / physiology
  • RNA, Messenger / analysis
  • Respiratory Mucosa / chemistry
  • Respiratory Mucosa / pathology*
  • Respiratory Mucosa / physiopathology
  • Scleroderma, Systemic / pathology*
  • Scleroderma, Systemic / physiopathology*
  • Transcriptional Activation / physiology
  • Transforming Growth Factor beta / pharmacology


  • CCN2 protein, human
  • CCN2 protein, mouse
  • Extracellular Matrix Proteins
  • Growth Substances
  • Immediate-Early Proteins
  • Intercellular Signaling Peptides and Proteins
  • RNA, Messenger
  • Transforming Growth Factor beta
  • Connective Tissue Growth Factor