The role of CTGF in the diabetic rat retina and its relationship with VEGF and TGF-β2, elucidated by treatment with CTGFsiRNA

Hongwei Yang*, Yonggang Huang, Xiaolong Chen, Jie Liu, Yan Lu, Limin Bu, Likun Xia, Wei Xiao, Ming Chen, Qingzhu Nie, Zheli Liu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Purpose: The critical association of connective tissue growth factor (CTGF) with diabetic retinopathy (DR) remains to be clarified. We detected alterations in the gene and protein expression of CTGF and related cytokines, including vascular endothelial growth factor (VEGF) and transforming growth factor-β2 (TGF-β2), and their response to small interfering RNA (siRNA) targeting the CTGF (CTGFsiRNA) in the retina of diabetic rats. The relationships between CTGF, VEGF and TGF-β2 levels, as well as the degree of apoptosis in the diabetic retina, were also investigated. Methods: Diabetes was induced in rats by the β-cell toxin streptozotocin (STZ). Retinas were obtained from control and diabetic rats and similar animals treated with CTGFsiRNA by intravitreal injection. mRNA level and protein expression of CTGF, VEGF and TGF-β2 were measured by reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting, and located by immunohistochemistry. Retinal apoptosis was detected by TUNEL staining. Results: The levels of CTGF, VEGF and TGF-β2 and the number of TUNEL-positive nuclei were significantly higher in diabetic retinas than in control retinas (p < 0.01). The level of CTGF rose at 8 weeks, earlier than levels of VEGF and TGF-β2, which rose at 12 weeks after the onset of diabetes. The difference was significant (p < 0.05). siRNA-mediated inhibition of CTGF mRNA inhibited retinal VEGF and TGF-β2 and also resulted in a significant decrease in apoptosis. Significant correlations were found between CTGF and VEGF (p = 0.009), CTGF and TGF-β2 (p = 0.01), and apoptosis and these three cytokines (p < 0.01) in the rat retina early in diabetes. Conclusions: These results suggest that the diabetes-mediated increase in CTGF upregulates VEGF and TGF-β2 expression and induces apoptosis in the retina. This elevation may be inhibited by treatment with CTGFsiRNA. Connective tissue growth factor may serve as a potential target for the prevention and treatment of DR.

Original languageEnglish (US)
Pages (from-to)652-659
Number of pages8
JournalActa Ophthalmologica
Issue number6
StatePublished - Sep 2010


  • apoptosis
  • connective tissue growth factor (CTGF)
  • diabetic retinopathy
  • rat
  • small interfering RNA

ASJC Scopus subject areas

  • Ophthalmology

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