Related Experiment Video
Updated: Jun 26, 2026

A Neonatal Heterotopic Rat Heart Transplantation Model for the Study of Endothelial-to-Mesenchymal Transition
Published on: July 21, 2023
Endothelin-1 induces connective tissue growth factor expression in cardiomyocytes
Anna Grazia Recchia1, Elisabetta Filice, Daniela Pellegrino
1Department of Pharmaco-Biology, Cell Biology, University of Calabria, 87036 Rende (CS), Italy.
Insights
Endothelin-1 (ET-1) triggers connective tissue growth factor (CTGF) in heart cells, promoting fibrosis. CTGF acts as a mediator for ET-1’s profibrotic effects, suggesting CTGF inhibitors for cardiovascular disease treatment.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Fibrosis Research
Background:
- Endothelin-1 (ET-1) is a vasoconstrictor implicated in cardiovascular diseases.
- Connective tissue growth factor (CTGF) is a fibrotic mediator found in atherosclerotic lesions, myocardial infarction, and hypertension.
- CTGF influences cell proliferation, apoptosis, migration, ECM accumulation, and plays roles in tissue repair and fibrosis.
Purpose of the Study:
- To investigate the signaling pathways through which ET-1 triggers CTGF expression in cardiomyocytes.
- To determine the role of CTGF in ET-1-induced extracellular matrix accumulation.
Main Methods:
- Utilized HL-1 cells as a model system for adult mouse atrial-muscle cells.
- Analyzed CTGF promoter activation and expression at mRNA and protein levels.
- Performed real-time PCR on rat heart preparations perfused with ET-1.
- Investigated intracellular signaling pathways including ERK, c-fos, c-jun (via ChIP analysis), and EGFR.
- Employed CTGF silencing to assess its role in ET-1 induced ECM accumulation.
Main Results:
- ET-1 activated the CTGF promoter and increased CTGF expression in HL-1 cells.
- CTGF induction by ET-1 was confirmed in isolated rat heart preparations.
- ET-1 signaling involved ET receptors, EGFR, ERK activation, and AP-1 components (c-fos, c-jun).
- CTGF silencing abolished decorin expression in ET-1 treated cells, indicating CTGF's role in ECM accumulation.
Conclusions:
- CTGF acts as a mediator of ET-1's profibrotic effects in cardiomyocytes.
- CTGF is involved in ET-1 induced extracellular matrix accumulation through direct and downstream mechanisms.
- CTGF inhibitors represent a potential therapeutic strategy for ET-1-related cardiovascular diseases.
Abstract:
Endothelin (ET)-1 is a vasoconstrictor involved in cardiovascular diseases. Connective tissue growth factor/CCN2 (CTGF) is a fibrotic mediator overexpressed in human atherosclerotic lesions, myocardial infarction, and hypertension. In different cell types CTGF regulates cell proliferation/apoptosis, migration, and extracellular matrix (ECM) accumulation and plays important roles in angiogenesis, chondrogenesis, osteogenesis, tissue repair, cancer and fibrosis. In the present study, we investigated the ET-1 signaling which triggers CTGF expression in cultured adult mouse atrial-muscle HL-1 cells used as a model system. ET-1 activated the CTGF promoter and induced CTGF expression at both mRNA and protein levels. Real-time PCR analysis revealed CTGF induction also in isolated rat heart preparations perfused with ET-1. Several intracellular signals elicited by ET-1 via ET receptors and even Epidermal Growth Factor Receptor (EGFR) contributed to the up-regulation of CTGF, including ERK activation and induction of the AP-1 components c-fos and c-jun, as also evaluated by ChIP analysis. Moreover, in cells treated with ET-1 the expression of ECM component decorin was abolished by CTGF silencing, indicating that CTGF is involved in ET-1 induced ECM accumulation not only in a direct manner but also through downstream effectors. Collectively, our data indicate that CTGF could be a mediator of the profibrotic effects of ET-1 in cardiomyocytes. CTGF inhibitors should be considered in setting a comprehensive pharmacological approach towards ET-1 induced cardiovascular diseases.
Related Concept Videos
Regulation of Angiogenesis and Blood Supply
Mechanism of Angiogenesis
TGF - β Signaling Pathway
Heart Failure II: Pathophysiology

