Impaired Intracellular Signaling May Allow Up-Regulation of CTGF-Synthesis and Secondary Peri-Retinal Fibrosis in Human Retinal Pigment Epithelial Cells from Patients with Age-Related Macular Degeneration

  • Piyush C. Kothary
  • Jaya Badhwar
  • Christina Weng
  • Monte A. Del Monte
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 664)


Age-related macular degeneration (AMD) is a major sight-threatening ocular disorder in the United States of America and the world, yet its etiology is not clearly understood, preventing the development of effective prevention or therapy. Connective tissue growth factor (CTGF) has been implicated in the pathological synthesis of peri-retinal fibrous tissue in patients with AMD. Very little is known about the mechanism of this interaction. In this study, the authors demonstrate that insulin like growth factor-1 (IGF-1) and glucose-stimulated CTGF production are not blocked by the MAP kinase pathway inhibitor, PD98059 in hRPE cells obtained from eyes of a patient with AMD in contrast to hRPE cells obtained from normal human eyes. This suggests that there may be abnormal CTGF synthesis regulation in AMD, which may play a role in fibrous peri-retinal membrane formation in patients with AMD-related proliferative vitreoretinopathy.


Connective Tissue Growth Factor Human Retinal Pigment Epithelial Cell Connective Tissue Growth Factor Expression hRPE Cell Fibroblast Conditioned Culture Medium 
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The authors thank Angela Joy Verkade for her assistance in preparing this chapter. This research was funded by the Skillman Foundation.


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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Piyush C. Kothary
    • 1
  • Jaya Badhwar
    • 1
  • Christina Weng
    • 1
  • Monte A. Del Monte
    • 1
  1. 1.Department of Ophthalmology and Visual SciencesUniversity of Michigan/Kellogg Eye CenterAnn ArborUSA

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