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Roles for CCN2 in normal physiological processes

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Abstract

CCN2, also known as connective tissue growth factor, is a member of the CCN (CCN1–6) family of modular matricellular proteins. Analysis of CCN2 function in vivo has focused primarily on its key role as a mediator of excess ECM synthesis in multiple fibrotic diseases. However, CCN2 and related family members are widely expressed during development. Recent studies using new genetic models are revealing that CCN2 has essential roles in the development of many tissues. This review focuses on current and emerging data on CCN2 and its functions in chondrogenesis and angiogenesis, and on new studies showing that CCN2 has essential functions during embryonic and postnatal development in a number of epithelial tissues.

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References

  1. Abreu JG, Reversade B, De Robertis EM (2002) Connective-tissue growth factor (CTGF) modulates cell signalling by BMP and TGF-beta. Nat Cell Biol 4:599–604

    PubMed  CAS  Google Scholar 

  2. Brigstock DR (1999) The connective tissue growth factor/cysteine-rich 61/nephroblastoma overexpressed (CCN) family. Endocr Rev 20:189–206

    Article  PubMed  CAS  Google Scholar 

  3. Vorwerk P, Oh Y, Rosenfeld RG, Shymko RM (2002) Binding properties of insulin-like growth factor binding protein-3 (IGFBP-3), IGFBP-3 N- and C-terminal fragments, and structurally related proteins mac25 and connective tissue growth factor measured using a biosensor. Endocrinology 143:1677–1685

    Article  PubMed  CAS  Google Scholar 

  4. Chen N, Todorovic V, Lam SC, Lau LF (2004) Identification of a novel integrin alphavbeta3 binding site in CCN1 (CYR61) critical for pro-angiogenic activities in vascular endothelial cells. J Biol Chem 279:44166–44176

    Article  PubMed  CAS  Google Scholar 

  5. Leu SJ, Lau LF (2002) Proangiogenic activities of CYR61 (CCN1) mediated through integrins avb3 and a6b1 in human umbilical vein endothelial cells. J Biol Chem 286:25505–25518

    Google Scholar 

  6. Gao R (2004) Connective tissue growth factor (CCN2) induces adhesion of rat activated hepatic stellate cells by binding of its C-terminal domain to integrin alpha(v)beta(3) and heparan sulfate proteoglycan. J Biol Chem 279:8848–8855

    Article  PubMed  CAS  Google Scholar 

  7. Aoyama E, Hoshijima M, Araki D, Nishida T, Kubota S, Takigawa M (2009) N-terminal domains of CCN family 2/connective tissue growth factor bind to aggrecan. Biochem J 420:413–420

    Article  PubMed  CAS  Google Scholar 

  8. Hashimoto G, Fujii Y, Aoki T, Ikeda E, Okada Y (2002) Matrix metalloproteinases cleave connective tissue growth factor and reactivate angiogenic activity of vascular endothelial growth factor 165. J Biol Chem 277:36288–36295

    Article  PubMed  CAS  Google Scholar 

  9. Bork P (1993) The modular architecture of a new family of growth regulators related to connective tissue growth factor. FEBS 327:125–130

    Article  CAS  Google Scholar 

  10. Itasaki N, Mercurio S, Rowe A, Domingos PM, Smith JC, Krumlauf R (2003) Wise, a context-dependent activator and inhibitor of Wnt signalling. Development 130:4295–4305

    Article  PubMed  CAS  Google Scholar 

  11. Katsube K, Tamamura Y, Yamaguchi (2009) Role of CCN, a vertebrate specific gene family, in development. Dev Growth Differ 51:55–67

    Article  PubMed  CAS  Google Scholar 

  12. Mercurio S, Itasaki N, Krumlauf R, Smith JC (2004) Connective-tissue growth factor modulates WNT signalling and interacts with the WNT receptor complex. Development 131:2137–2147

    Article  PubMed  CAS  Google Scholar 

  13. Nishida T, Kubota S, Fukunaga T, Kondo S, Yosimichi G et al (2003) CTGF/Hcs24, hypertrophic chondrocyte-specific gene product, interacts with perlecan in regulating the proliferation and differentiation of chondrocytes. J Cell Physiol 196:265–275

    Article  PubMed  CAS  Google Scholar 

  14. Perbal B, Sainson R, Werner M, He B, Roizman B (1999) The C-terminal domain of the regulatory protein NOVH is sufficient to promote interaction with fibulin 1C: a clue for a role of NOVH in cell-adhesion signaling. Proc Natl Acad Sci USA 96:869–874

    Article  PubMed  CAS  Google Scholar 

  15. Leask A (2006) All in the CCN family: essential matricellular signaling modulators emerge from the bunker. J Cell Sci 119:4803–4810

    Article  PubMed  CAS  Google Scholar 

  16. Mercurio S, Latinkic B, Itasaki N, Krumlauf R, Smith JC (2004) Connective-tissue growth factor modulates WNT signalling and interacts with the WNT receptor complex. Development 131:2137–2147

    Article  PubMed  CAS  Google Scholar 

  17. Fernando CA, Conrad PA, Bartels CF, Marques T, To M, Balow SA, Nakamura Y, Warman ML (2010) Temporal and spatial expression of CCN genes in zebrafish. Dev Dyn 239:1755–1767

    Article  PubMed  CAS  Google Scholar 

  18. Ivkovic S, Popoff SN, Safadi FF, Libuda DE, Stephenson RC, Daluiski A, Lyons KM (2003) Connective tissue growth factor coordinates chondrogenesis and angiogenesis during skeletal development. Development 130:2779–2791

    Article  PubMed  CAS  Google Scholar 

  19. Chiou MJ, Wu JL, Kuo CM, Chen JY (2006) The physiological role of CTGF/CCN2 in zebrafish notochond development and biological analysis of the proximal promoter region. Biochem Biophys Res Commun 349:750–758

    Article  PubMed  CAS  Google Scholar 

  20. Friedrichsen S, Christ S, Winckler M, Brauer D, Bauer K, Raivich G (2003) CTGF expression during mouse embryonic development. Cell Tiss Res 312:175–188

    CAS  Google Scholar 

  21. Brigstock DR (2002) Regulation of angiogenesis and endothelial cell function by connective tissue growth factor (CTGF) and cysteine-rich 61 (CYR61). Angiogenesis 5:153–165

    Article  PubMed  CAS  Google Scholar 

  22. Surveyor GA (1999) Immunohistochemical localization of connective tissue growth factor (CTGF) in the mouse embryo between days 7.5 and 14.5 of gestation. Growth Factors 17:115–124

    Article  PubMed  CAS  Google Scholar 

  23. Chen CC (2009) Functions and mechanisms of action of CCN matricellular proteins. Int J Biochem Cell Biol 41:771–783

    Article  PubMed  CAS  Google Scholar 

  24. Surveyor GA, Brigstock DR (1998) Localization of connective tissue growth factor during the period of embryo implantation in the mouse. Biol Reprod 59:1207–1213

    Article  PubMed  CAS  Google Scholar 

  25. Shi-Wen X, Abraham D (2008) Regulation and function of connective tissue growth factor/CCN2 in tissue repair, scarring and fibrosis. Cytokine Growth Factor Rev 19:133–144

    Article  PubMed  Google Scholar 

  26. Mori T, Shinozaki M, Hayashi N, Kakinuma T, Igarashi A, Takigawa M, Nakanishi T, Takehara K (1999) Role and interaction of connective tissue growth factor with transforming growth factor-beta in persistent fibrosis: a mouse fibrosis model. J Cell Physiol 181:153–159

    Article  PubMed  CAS  Google Scholar 

  27. Igarashi A, Bradham DM, Grotendorst GR (1993) Regulation of connective tissue growth factor gene expression in human skin fibroblasts and during wound repair. Mol Biol Cell 4:637–645

    PubMed  CAS  Google Scholar 

  28. Yokoi H, Mori K, Kasahara M, Suganami T, Sawai K, Yoshioka T, Saito Y, Ogawa YKT, Sugawara A, Nakao K (2008) Overexpression of connective tissue growth factor in podocytes worsens diabetic nephropathy in mice. Kidney Int 73:446–455

    Article  PubMed  CAS  Google Scholar 

  29. Tong Z, Alt DS, Kemper S, Perbal B, Brigstock DR (2009) Susceptibility to liver fibrosis in mice expressing a connective tissue growth factor transgene in hepatocytes. Hepatology 50:939–947

    Article  PubMed  CAS  Google Scholar 

  30. Sonnylal S, Leoni P, Naff K, Van Pelt CS, Nakamura H, Leask A, Abraham D, Bou-Gharios G dCB (2010) Selective expression of connective tissue growth factor in fibroblasts in vivo promotes systemic tissue fibrosis. Arthritis Rheum 62:1523–1532

    PubMed  Google Scholar 

  31. Liu S, Abraham DJ, Leask A (2011) CCN2 is required for bleomycin-induced skin fibrosis in mice. Arthritis Rheum 63:239–246

    Article  PubMed  CAS  Google Scholar 

  32. Doherty HE, Hiller S, Sulik KK, Maeda N (2010) A mouse strain where basal connective tissue growth factor gene expression can be switched from low to high. PLoS One 5:e12909

    Article  PubMed  Google Scholar 

  33. Teekakirikul P, Toka O, Alcalai R, Wang L, Wakimoto H, Nayor M, Konno T, Gorham JM, Wolf CM, Kim JB, Schmitt JP, Molkentin JD, Norris RA, Tager AM, Hoffman SR, Markwald RR, Seidman CE, Seidman JG (2010) Cardiac fibrosis in mice with hypertrophic cardiomyopathy is mediated by non-myocyte proliferation and requires Tgf-β. J Clin Invest 120:3520–3529

    Article  PubMed  CAS  Google Scholar 

  34. Panek AN, Alenina N, Ghadge SK, Erdmann B, Popova E, Perrot A, Geier C, Dietz R, Morano I, Bader M, Ozcelik C (2009) Connective tissue growth factor overexpression in cardiomyocytes promotes cardiac hypertrophy and protection against pressure overload. PLoS One 4:e6743

    Article  PubMed  Google Scholar 

  35. Ahmed MS, Martinov VN, von Lueder TG, Edvardsen T, Czibik G, Moe IT, Vinge LE, Oie E, Valen G, Attramadal H (2010) Mechanisms of novel cardioprotective functions of CCN2/CTGF in myocardial ischemia/reperfusion injury. Am J Physiol Heart Circ Physiol (Epub ahead of print)

  36. Murphy AM (1996) Contractile protein phenotypic variation during development. Cardiovasc Res 31:25–33

    Google Scholar 

  37. Fukunaga T, Oya S, Takeshita N, Takigawa M, Takano-Yamamoto T (2003) Connective tissue growth factor mRNA expression pattern in cartilages is associated with their type I collagen expression. Bone 33:911–918

    Article  PubMed  CAS  Google Scholar 

  38. Friedrichsen S, Heuer H, Christ S, Cuthill D, Bauer K, Raivich G (2005) Gene expression of connective tissue growth factor in adult mouse. Growth Factors 23:43–53

    Article  PubMed  CAS  Google Scholar 

  39. Bonniaud P, Kolb M, Haberberger T, Kelly M, Robertson J, Gauldie J (2003) Adenoviral gene transfer of connective tissue growth factor in the lung induces transient fibrosis. Am J Respir Crit Care Med 168:770–778

    Article  PubMed  Google Scholar 

  40. Bonniaud P, Margetts PJ, Ask K, Robertson J, Gauldie J, Kolb M (2004) Connective tissue growth factor is crucial to inducing a profibrotic environment in “fibrosis-resistant” BALB/c mouse lungs. Am J Respir Cell Mol Biol 31:510–516

    Article  PubMed  CAS  Google Scholar 

  41. Wu S, Chen S, McNamara G, Whitsett J, Bancalari E (2009) Conditional overexpression of connective tissue growth factor disrupts postnatal lung development. Am J Respir Cell Mol Biol 42:552–563

    Article  PubMed  Google Scholar 

  42. Chen S, Platteau A, Hehre D, Smith H, Ruiz P, Whitsett JA, Bancalari E, Wu S (2011) CTGF Disrupts alveolarization and induces pulmonary hypertension in neonatal mice: implication in the pathogenesis of severe bronchopulmonary dysplasia. Am J Physiol Lung Cell Mol Physiol 300:L330–340

    Google Scholar 

  43. Delcommenne M, Gray V, Rue L, Woodgett J, Dedhar S (1998) Phosphoinositide-3-OH kinase-dependent regulation of glycogen synthase kinase 3 and protein kinase B/AKT by the integrin-linked kinase. Proc Natl Acad Sci USA 95:11211–11216

    Article  PubMed  CAS  Google Scholar 

  44. Henderson WR, Ye X, Nguyen C, Tien YT, Zhou B, Borok Z, Knight DA, Kahn M (2010) Inhibition of Wnt/beta-catenin/CREB binding protein (CBP) signaling reverses pulmonary fibrosis. Proc Natl Acad Sci USA 107:14309–14314

    Article  PubMed  Google Scholar 

  45. Chilosi M, Zamo A, Lestani M, Montagna L, Piccoli P, Pedron S, Bertaso M, Scarpa A, Murer B, Cancellieri A, Maestro R, Semenzato G, Doglioni C (2003) Aberrant Wnt/beta-catenin pathway activation in idiopathic pulmonary fibrosis. Am J Pathol 162:1495–1502

    Article  PubMed  CAS  Google Scholar 

  46. Cheon SS, Poon R, Alman BA (2004) Growth factors regulate beta-catenin-mediated TCF-dependent transcriptional activation in fibroblasts during the proliferative phase of wound healing. Exp Cell Res 293:267–274

    Article  PubMed  CAS  Google Scholar 

  47. Si W, Luu HH, Park JK, Luo Q, Song WX, Jiang W, Luo X, Li X, Yin H, Montag AG, Haydon RCHT (2006) CCN1/Cyr61 is regulated by the canonical Wnt signal and plays an important role in Wnt3A-induced osteoblast differentiation of mesenchymal stem cells. Mol Cell Biol 26:2955–2964

    Article  PubMed  CAS  Google Scholar 

  48. Huang BL, Lyons KM (2010) Stage-specific control of connective tissue growth factor (CTGF/CCN2) expression in chondrocytes by sox9 and beta-catenin. J Biol Chem 285:27702–27712

    Article  PubMed  CAS  Google Scholar 

  49. Baguma-Nibasheka M, Kablar B (2008) Pulmonary hypoplasia in the connective tissue growth factor (Ctgf) null mouse. Dev Dyn 237:485–493

    Google Scholar 

  50. Lindahl P, Johansson BR, Leveen P, Betsholtz C (1997) Pericyte loss and microaneurysm formation in PDGF-B-deficient mice. Science 277:242–245

    Article  PubMed  CAS  Google Scholar 

  51. Bonner JC (2004) Regulation of PDGF and its receptors in fibrotic diseases. Cytokine Growth Factor Rev 15:255–273

    Article  PubMed  CAS  Google Scholar 

  52. Provot S (2007) Fetal growth plate: a developmental model of cellular adaptation to hypoxia. Ann NY Acad Sci: 26–39

  53. Kronenberg HM (2003) Developmental regulation of the growth plate. Nature 423:332–336

    Article  PubMed  CAS  Google Scholar 

  54. Nishida T, Baxter RM, Deyoung RA, Takigawa M, Lyons KM (2007) CCN2 (connective tissue growth factor) is essential for extracellular matrix production and integrin signaling in chondrocytes. J Cell Commun Signal 1:45–58

    Article  PubMed  Google Scholar 

  55. Gerber HP, Ryan AM, Kowalski J, Werb Z, Ferrara N (1999) VEGF couples hypertrophic cartilage remodeling, ossification and angiogenesis during endochondral bone formation. Nat Med 55:623–628

    Google Scholar 

  56. Nishida, T, Kondo S, Maeda A, Kubota S, Lyons KM, Takigawa M (2009) CCN family 2/connective tissue growth factor (CCN2/CTGF) regulates the expression of Vegf through Hif-1alpha expression in a chondrocytic cell line, HCS-2/8, under hypoxic condition. Bone 44:24–31

    Google Scholar 

  57. Gong S, Heintz N (2010) Rapid bacterial artificial chromosome modification for large-scale mouse transgenesis. Nat Protoc 5:1678–1696

    Article  PubMed  CAS  Google Scholar 

  58. Nishida T, Kojima S, Kuboki T, Nakao K, Kushibiki T, Tabata Y, Takigawa M (2004) Regeneration of defects in articular cartilage in rat knee joints by CCN2 (connective tissue growth factor). J Bone Miner Res 19:1308–1319

    Article  PubMed  CAS  Google Scholar 

  59. Blaney Davidson EN, Mooren FM, Oliver N, Berg WB, van der Kraan PM (2006) Connective tissue growth factor/CCN2 overexpression in mouse synovial lining results in transient fibrosis and cartilage damage. Arthritis Rheum 54:1653–1661

    Article  PubMed  CAS  Google Scholar 

  60. Schipani E (2005) Hypoxia and HIF-1 alpha in chondrogenesis. Semin Cell Dev Biol 16:539–546

    Article  PubMed  CAS  Google Scholar 

  61. Yang S, Ryu JH, Oh H, Chun CH, Kim BJ, Min BH, Chun JS (2010) Hypoxia-inducible factor 2alpha is a catabolic regulator of osteoarthritic cartilage destruction. Nat Med 16:687–693

    Google Scholar 

  62. Kawaki H, Kubota S, Suzuki A, Yamada T, Matsumura T et al (2008) Functional requirement of CCN2 for intramembranous bone formation in embryonic mice. Biochem Biophys Res Commun 366:450–456

    Article  PubMed  CAS  Google Scholar 

  63. Canalis E, Beamer WG, Economides AN, Smerdel-Ramoya A (2010) Connective tissue growth factor is required for skeletal development and postnatal skeletal homeostasis in male mice. Endocrinology 151:3490–3501

    Article  PubMed  CAS  Google Scholar 

  64. Lee CH, Moioli EK, Mao JJ (2010) CTGF directs fibroblast differentiation from human mesenchymal stem/stromal cells and defines connective tissue healing in a rodent injury model. J Clin Invest 120:3340–3349

    Article  PubMed  CAS  Google Scholar 

  65. Shimo T, Nishida T, Asano M, Kanyama M, Kuboki T, Tamatani T, Tezuka K, Takemura MMT, Takigawa M (1999) Connective tissue growth factor induces the proliferation, migration, and tube formation of vascular endothelial cells in vitro, and angiogenesis in vivo. J Biochem 126:137–145

    PubMed  CAS  Google Scholar 

  66. Babic AM, Lau LF (1999) Fisp12/mouse connective tissue growth factor mediates endothelial cell adhesion and migration through integrin alphavbeta3, promotes endothelial cell survival, and induces angiogenesis in vivo. Mol Cell Biol 19:2958–2966

    PubMed  CAS  Google Scholar 

  67. Inoki I, Hashimoto G, Enomoto H, Nakamura H, Makino KI, Ikeda E, Takata S, Kobayashi KOY (2001) Connective tissue growth factor binds vascular endothelial growth factor (VEGF) and inhibits VEGF-induced angiogenesis. FASEB J 16:219–221

    PubMed  Google Scholar 

  68. Kuiper EJ, Ehlken C, Lambert V, van Treslong-de Groot HB, Lyons KM, Agostini HJRJ, Klaassen I, Van Noorden CJ, Goldschmeding R, Schlingemann RO (2007) Angiogenesis is not impaired in connective tissue growth factor (CTGF) knock-out mice. J Histochem Cytochem 55:1139–1147

    Article  PubMed  CAS  Google Scholar 

  69. Kuiper EJ, Roestenberg P, Lyons KM, Goldschmeding R, Klaassen I, Van Noorden CJSR (2008) Connective tissue growth factor is necessary for retinal capillary basal lamina thickening in diabetic mice. J Histochem Cytochem 56:785–792

    Article  PubMed  CAS  Google Scholar 

  70. Nguyen TQ, van Nieuwenhoven FA, Bovenschen N, Li Z, Xu L, Oliver N, Aten J, Joles JA, Vial C, Brandan E, Lyons KM, Goldschmeding R (2008) CTGF inhibits BMP-7 signaling in diabetic nephropathy. J Am Soc Nephrol 19:2098–2107

    Article  PubMed  CAS  Google Scholar 

  71. Crawford L, Guney MA, Oh YA, Deyoung RA, Valenzuela DM, Murphy AJ, Yancopoulos GD, Lyons KM, Brigstock DR, Economides A, Gannon M (2009) Connective tissue growth factor (CTGF) inactivation leads to defects in islet cell lineage allocation and beta-cell proliferation during embryogenesis. Mol Endocrinol 23:324–336

    Article  PubMed  CAS  Google Scholar 

  72. Kawaki H, Suzuki A, Lazar N, Yamada T, Matsumura T, Ohgawara T, Maeda T, Perbal BLK, Takigawa M (2008) Cooperative regulation of chondrocyte differentiation by CCN2 and CCN3 shown by a comprehensive analysis of the CCN family proteins in cartilage. J Bone Miner Res 23:1751–1764

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

This work was supported by NIH grants R01 AR052686 to KML and the UCLA Vascular Biology Training Grant (Ruth L. Kirschstein National Research Service Award T32HL69766) to FHG.

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Correspondence to Karen M. Lyons.

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Hall-Glenn, F., Lyons, K.M. Roles for CCN2 in normal physiological processes. Cell. Mol. Life Sci. 68, 3209–3217 (2011). https://doi.org/10.1007/s00018-011-0782-7

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