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Association of connective tissue growth factor with fibrosis in vitreoretinal disorders in the human eye

  • Esther J Kuiper
  • , Marc D de Smet
  • , Jan C van Meurs
  • , H Stevie Tan
  • , Michael W T Tanck
  • , Noelynn Oliver
  • , Frans A van Nieuwenhoven
  • , Roel Goldschmeding
  • , Reinier O Schlingemann*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To investigate the expression of the profibrotic connective tissue growth factor (CTGF) in relation to severity of intraocular fibrosis and neovascularization in human vitreoretinal disorders for the identification of potential therapeutic targets to prevent fibrosis.

METHODS: Concentrations of CTGF were measured by enzyme-linked immunosorbent assay in 119 vitreous samples from patients with proliferative diabetic retinopathy, proliferative vitreoretinopathy, epiretinal membrane, and macular hole. Clinical data, including degree of intraocular fibrosis and neovascularization, were collected using standardized forms.

RESULTS: Multifactorial analysis revealed that only CTGF levels correlated highly significantly with degree of fibrosis in the various vitreoretinal disorders studied (P<.001; R2= 47.7%). Likewise, variation in degree of fibrosis was best predicted by CTGF levels (P<.001).

CONCLUSION: The strong correlation between CTGF levels and degree of fibrosis in vitreoretinal disorders suggests that CTGF is an important factor in ocular fibrosis, similar to its role in pathologic fibrosis in other organs.

CLINICAL RELEVANCE: Connective tissue growth factor may be a therapeutic target for prevention of sight-threatening vitreoretinal scarring in the eye.

Original languageEnglish
Pages (from-to)1457-62
Number of pages6
JournalArchives of Ophthalmology
Volume124
Issue number10
DOIs
Publication statusPublished - Oct 2006
Externally publishedYes

Keywords

  • Connective Tissue Growth Factor
  • Diabetic Retinopathy/metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Epiretinal Membrane/metabolism
  • Female
  • Fibrosis/metabolism
  • Humans
  • Immediate-Early Proteins/metabolism
  • Intercellular Signaling Peptides and Proteins/metabolism
  • Male
  • Middle Aged
  • Retina/pathology
  • Retinal Perforations/metabolism
  • Vitreoretinopathy, Proliferative/metabolism
  • Vitreous Body/metabolism

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