Clinical and Experimental Nephrology

, Volume 9, Issue 2, pp 114–121

Connective tissue growth factor mediates the profibrotic effects of transforming growth factor-β produced by tubular epithelial cells in response to high glucose

  • Tatsuya Kobayashi
  • Tsutomu Inoue
  • Hirokazu Okada
  • Tomohiro Kikuta
  • Yoshihiko Kanno
  • Takashi Nishida
  • Masaharu Takigawa
  • Takeshi Sugaya
  • Hiromichi Suzuki



It was reported that connective tissue growth factor (CTGF) was expressed in the tubular epithelial cells of the diabetic kidney. CTGF has, among other factors, been implicated in mediating the downstream, profibrotic effects of transforming growth factor-β (TGF-β), though is precise role in interstitial fibrogenesis in the diabetic kidney has not yet been clarified.


We employed a coculture system involving cultured murine proximal tubular epithelial cells (mProx24) and renal fibroblasts (TFB), as a model of the subepithelial mesenchyme in the kidney in order to examine the profibrotic effects of CTGF derived from mProx24 cells in response to high glucose (30 mM).


We showed that glucose stimulated CTGF expression in cultured mProx24 in both a dose- and a time-dependent manner, and that this effect was mediated by increased levels of TGF-β. We also found that high glucose significantly stimulated TFB cells to produce profibrotic molecules, such as type I collagen, the EIIIA isoform of fibronectin, and plasminogen activator inhibitor-1. The induction of these molecules was both direct and indirect, the latter induction being mediated by mProx24 cell-derived CTGF, which, in turn, was induced by TGF-β that was produced by the mProx24 cells.


CTGF plays an important role in mediating renal interstitial fibrogenesis in response to high glucose and, as such, is a reasonable target for anti-fibrotic therapy.

Key words

Connective tissue growth factor Transforming growth factor-β Tubular epithelial cells Fibroblasts Glucose Fibrogenesis 


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Copyright information

© Japanese Society of Nephrology 2005

Authors and Affiliations

  • Tatsuya Kobayashi
    • 1
  • Tsutomu Inoue
    • 1
  • Hirokazu Okada
    • 1
  • Tomohiro Kikuta
    • 1
  • Yoshihiko Kanno
    • 1
  • Takashi Nishida
    • 2
  • Masaharu Takigawa
    • 2
  • Takeshi Sugaya
    • 3
  • Hiromichi Suzuki
    • 1
  1. 1.Department of NephrologySaitama Medical CollegeSaitamaJapan
  2. 2.Department of Biochemistry and Molecular DentistryOkayama University Graduate School of Medicine and DentistryOkayamaJapan
  3. 3.Center of Tsukuba Advanced Research Alliance, Institute of Applied BiochemistryUniversity of TsukubaIbarakiJapan

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