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Cysteine-rich 61, a member of the CCN family, as a factor involved in the pathogenesis of proliferative diabetic retinopathy.

AbstractPURPOSE:
Cysteine-rich 61 (Cyr61/CCN1) is reported to mediate angiogenesis. In this study, its role in ocular angiogenesis and proliferative diabetic retinopathy (PDR) was investigated.
METHODS:
The effects of Cyr61 were evaluated by determining proliferation and chemotaxis and in an assay of capillary tube formation in synthetic matrix by chorioretinal endothelial cells (RF/6A). In the same cells, Cyr61 expression under hypoxic conditions was then investigated. Interactions between Cyr61 and vascular endothelial growth factor (VEGF) were examined using endothelial cell chemotaxis, tube-formation assay, and cross-stimulation assay. A mouse model of oxygen-induced retinopathy (OIR) and a rat model of streptozocin-induced diabetes were used to evaluate Cyr61 expression in the retina. Cyr61 levels were also measured and chemotactic effects were evaluated in vitreous samples from patients with PDR.
RESULTS:
Cyr61 significantly induced proliferation, migration, and synthetic matrix tube formation of RF/6A cells. Hypoxia significantly induced Cyr61 mRNA and protein expression. Cyr61 induced expression of VEGF and vice versa. Anti-Cyr61 or anti-VEGF could inhibit the effects of both Cyr61 and VEGF. Intravitreal injection of anti-Cyr61 antibody significantly inhibited retinal neovascularization in the mouse OIR model. Cyr61 mRNA and protein were significantly expressed in the retina of streptozocin-induced diabetic rats. Vitreous levels of Cyr61 were elevated in patients with PDR when compared with nondiabetic patients.
CONCLUSIONS:
Cyr61 acts as an angiogenic mediator of ocular neovascularization in vitro and in vivo. It may interact with VEGF in a synergetic manner. Vitreous levels of Cyr61 are elevated in PDR, and it may play an important role in the disease's pathogenesis.
AuthorsJian-Jang You, Chang-Hao Yang, Muh-Shy Chen, Chung-May Yang
JournalInvestigative ophthalmology & visual science (Invest Ophthalmol Vis Sci) Vol. 50 Issue 7 Pg. 3447-55 (Jul 2009) ISSN: 1552-5783 [Electronic] United States
PMID19264885 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiogenesis Inducing Agents
  • Cysteine-Rich Protein 61
  • RNA, Messenger
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, mouse
  • vascular endothelial growth factor A, rat
  • DNA
Topics
  • Angiogenesis Inducing Agents (metabolism)
  • Animals
  • Blotting, Western
  • Capillaries (physiology)
  • Cell Culture Techniques
  • Cell Movement
  • Cell Proliferation
  • Cysteine-Rich Protein 61 (physiology)
  • DNA (biosynthesis)
  • Diabetes Mellitus, Experimental (genetics)
  • Diabetic Retinopathy (etiology, metabolism, pathology)
  • Endothelium, Vascular (metabolism)
  • Enzyme-Linked Immunosorbent Assay
  • Gene Expression
  • Humans
  • Hypoxia (genetics)
  • Infant, Newborn
  • Luminescent Measurements
  • Macaca mulatta
  • Mice
  • Mice, Inbred C57BL
  • RNA, Messenger (metabolism)
  • Rats
  • Rats, Wistar
  • Retinal Neovascularization (etiology, metabolism, pathology)
  • Retinal Vessels (physiology)
  • Retinopathy of Prematurity (genetics)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Vascular Endothelial Growth Factor A (metabolism)
  • Vitreous Body (metabolism)

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