JHC exPRESS: First Published June 13, 2005. doi:10.1369/jhc.4A6560.2005 Copyright © Histochemical Society, Inc.
A more recent version of this article appeared on October 1, 2005.
Connective Tissue Growth Factor and Cardiac Fibrosis after Myocardial Infarction
Rachael G Dean 1*, Leanne C Balding 1, Riccardo Candido 1, Wendy C Burns 1, Zemin Cao 1, Stephen M Twigg 1 and Louise M Burrell 1
1 Department of Medicine, University of Melbourne, Austin Health, Heidelberg, Victoria, Australia (RGD,LCB,RC,ZC,LMB); Diabetic Complications Group, Baker Heart Research Institue, Prahan, Victoria, Australia (WCB); and Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St. Leonards, New South Wales, Australia (SMT)
* To whom correspondence should be addressed. E-mail: rdean{at}unimelb.edu.au.
Submitted on October 25, 2005
Accepted on 11 May 2005
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Abstract |
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The temporal and spatial expression of transforming growth factor (TGF)- 1 and connective tissue growth factor (CTGF) was assessed in the left ventricle of a myocardial infarction (MI) model of injury with and without angiotensin converting enzyme (ACE) inhibition. Coronary artery ligated rats were killed 1, 3, 7, 28 and 180 days after MI. TGF- 1, CTGF and procollagen 1(I) mRNA were localized by in situ hybridization, and TGF- 1 and CTGF protein levels by immunohistochemistry. Collagen protein was measured using picrosirius red staining. In a separate group, rats were treated for 6 months with an ACE inhibitor. There were temporal and regional differences in the expression of TGF- 1, CTGF and collagen after MI. Procollagen 1(I) mRNA expression increased in the border zone and scar peaking one week after MI, while collagen protein increased in all areas of the heart over the 180 days. Expression of TGF- 1 mRNA and protein showed major increases in the border zone and scar peaking one week after MI. The major increases in CTGF mRNA and protein occurred in the viable myocardium at 180 days after MI. Long term ACE inhibition reduced LV mass and decreased fibrosis in the viable myocardium but had no effect on cardiac TGF- 1 or CTGF. TGF- 1 is involved in the initial, acute phase of inflammation and repair after MI, whereas CTGF is involved in the ongoing fibrosis of the heart. The anti-fibrotic benefits of captopril are not mediated through a reduction in CTGF.
Key Words:
connective tissue growth factor, transforming growth factor 1, myocardial infarction, fibrosis, angiotensin converting enzyme

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