CTGF antibody pairs enable precise quantification of CTGF levels, which regulate:
A 2019 preclinical study demonstrated therapeutic potential in myocardial infarction models :
Parameter | MI + IgG (n=5) | MI + CTGF mAb (n=8) | p-value |
---|---|---|---|
LVEDD (mm) | 5.84 ± 0.45 | 5.51 ± 0.75 | <0.05 |
LVESD (mm) | 5.41 ± 0.50 | 4.81 ± 0.74 | <0.01 |
LVED Vol (μl) | 170 ± 30.0 | 151 ± 47.7 | <0.05 |
Treatment with CTGF monoclonal antibody (mAb) improved left ventricular dimensions and upregulated cardiac repair genes including Nkx2-5 (2.1-fold) and Cited4 (1.8-fold) .
RNA sequencing analysis of post-MI cardiac tissue revealed:
In vitro studies using human cardiac fibroblasts showed:
Leading commercial providers implement stringent validation protocols:
CTGF antibody pairs facilitate:
CTGF (Connective Tissue Growth Factor, also known as CCN2) is a matricellular protein that functions as a major connective tissue mitoattractant secreted primarily by vascular endothelial cells. It promotes proliferation and differentiation of chondrocytes while mediating heparin- and divalent cation-dependent cell adhesion in multiple cell types including fibroblasts, myofibroblasts, endothelial and epithelial cells. CTGF also enhances fibroblast growth factor-induced DNA synthesis .
The significance of CTGF as a detection target stems from its critical role in various pathological processes, particularly as an essential regulator in fibrosis, cancer progression, neurological disorders, and eye diseases . CTGF's elevated expression correlates with disease progression in multiple conditions, making it both a valuable biomarker and a therapeutic target worthy of precise detection and quantification in experimental settings.
Selecting the optimal epitope regions requires consideration of both the protein's functional domains and accessibility. CTGF contains distinct domains that mediate different biological activities. Based on available antibody data, common epitope regions include:
N-terminal region (AA 27-349): Contains binding sites for IGF and likely maintains full biological activity
Middle region (AA 80-200): Includes key functional domains for interaction with cell receptors
C-terminal region (AA 221-349): Contains domains involved in receptor binding and matrix interactions
For optimal antibody pair selection:
Choose antibodies targeting non-overlapping epitopes to prevent competitive binding
Consider using pairs where one antibody targets the N-terminal region and another targets the C-terminal region
Review cross-reactivity data—human CTGF shares approximately 95.5% and 95.9% amino acid sequence identity with mouse and rat CTGF respectively
Evaluate published validation data demonstrating successful epitope binding in your application of interest
The highest sensitivity is typically achieved when antibodies recognize conformational epitopes that remain accessible after protein immobilization in your detection platform.
Polyclonal CTGF Antibody Pairs:
Recognize multiple epitopes across the CTGF protein
Generally provide higher sensitivity for detection due to binding multiple sites
May show batch-to-batch variation requiring validation between lots
Often used in applications where maximum signal detection is the priority
Examples include rabbit polyclonal antibodies targeting AA 58-349 that exhibit strong reactivity with human and rat CTGF
Monoclonal CTGF Antibody Pairs:
Recognize a single epitope with high specificity
Provide more consistent results with minimal batch-to-batch variation
May offer lower sensitivity than polyclonal pairs but higher specificity
Preferable for quantitative applications requiring reproducibility over time
Examples include mouse monoclonal antibodies like clone AB01/1E5 that specifically target human CTGF
For optimal research outcomes, consider using a monoclonal capture antibody paired with a polyclonal detection antibody to balance specificity with signal amplification. This approach is particularly effective in sandwich ELISA applications, where sensitivity ranges of 0.19 ng/mL have been documented .
Optimizing a sandwich ELISA for CTGF requires careful attention to several critical parameters:
Antibody Selection and Orientation:
Use a capture antibody targeting a different epitope than the detection antibody
Evaluate several antibody pairings, as sensitivity can vary significantly between combinations
Polyclonal capture with monoclonal detection or vice versa can improve performance
Protocol Optimization:
Coating concentration: Titrate capture antibody (typically 1-10 μg/mL) to determine optimal coating density
Sample dilution: Create a dilution series of samples to ensure measurements fall within the linear range
Detection antibody concentration: Titrate to maximize signal while minimizing background
Incubation conditions: Optimize temperature and duration for all steps
Standard Curve Preparation:
Validation Parameters:
For human samples specifically, matched antibody pairs have been validated for detection in serum, plasma, and tissue homogenates with sensitivity in the sub-nanogram range .
Sample preparation methods must be tailored to tissue type and experimental goals:
For Serum/Plasma Samples:
Collect blood in appropriate anticoagulant tubes (EDTA for plasma, no anticoagulant for serum)
Centrifuge at 1000-2000×g for 10 minutes at 4°C
Carefully remove supernatant without disturbing interface
Dilute samples in assay buffer (typically 1:2 to 1:10) to minimize matrix effects
For maximum sensitivity, avoid repeated freeze-thaw cycles
For Tissue Homogenates:
Collect tissues and immediately snap-freeze in liquid nitrogen
Weigh frozen tissue and add homogenization buffer (PBS with protease inhibitors) at 1:10 ratio (w/v)
Homogenize using mechanical disruption (e.g., tissue homogenizer or bead-beater)
Centrifuge at 12,000×g for 15 minutes at 4°C to remove cellular debris
Collect supernatant and determine protein concentration
Normalize samples to equal protein concentration (typically 1-5 mg/mL)
For Cell Culture Supernatants:
Collect culture medium from cells grown in serum-free conditions for 24-48 hours
Centrifuge at 2000×g for 10 minutes to remove cellular debris
Filter through a 0.22 μm filter if necessary
Concentrate samples using centrifugal filter units if CTGF levels are expected to be low
For all sample types, inclusion of protease inhibitors is critical as CTGF can undergo proteolytic degradation. Additionally, samples should be processed consistently between experimental groups to ensure comparable results .
Validating antibody specificity for IHC applications requires a systematic approach:
Positive and Negative Controls:
Positive tissue controls: Use tissues known to express CTGF (vascular endothelial cells, fibrotic tissues)
Negative tissue controls: Use tissues with minimal CTGF expression
CTGF-knockout or siRNA-treated samples provide excellent negative controls when available
Antibody Validation Tests:
Peptide competition assay: Pre-incubate antibody with purified CTGF peptide before staining
Multiple antibody comparison: Use antibodies targeting different CTGF epitopes and compare staining patterns
Correlation with other detection methods: Compare IHC results with Western blot or in situ hybridization
Technical Controls:
Isotype control: Use matched isotype antibody at same concentration as CTGF antibody
Secondary-only control: Omit primary antibody to assess non-specific binding of secondary antibody
Endogenous peroxidase blocking: Verify complete blocking of endogenous activity
Optimization Parameters:
Antigen retrieval method: Compare heat-induced (citrate buffer, pH 6.0) versus enzymatic methods
Antibody dilution: Test dilution series (typically 1:50 to 1:500) to optimize signal-to-noise ratio
Incubation conditions: Optimize temperature (4°C, room temperature) and duration (1 hour, overnight)
Research has confirmed that reliable CTGF detection in paraffin-embedded sections requires careful antigen retrieval and validation against tissues with known expression patterns, such as fibrotic liver samples where CTGF is co-expressed with integrin αvβ6 in reactive ducts .
Proper normalization is essential for meaningful comparison of CTGF expression data:
For Western Blot Analysis:
Use housekeeping proteins (GAPDH, β-actin, or α-tubulin) as loading controls
Calculate relative CTGF expression as ratio of CTGF band intensity to loading control
For secreted CTGF in culture media, normalize to cell number or total cellular protein
Consider using Ponceau S staining of membrane as alternative normalization method
For ELISA Quantification:
For tissue samples: Normalize to total protein concentration determined by BCA or Bradford assay
For serum/plasma: Express as absolute concentration (ng/mL)
For cultured cells: Normalize to cell number or cellular protein content
For in vivo studies: Consider additional normalization to tissue weight
For qRT-PCR Analysis:
For Immunohistochemistry:
Score staining intensity using consistent criteria (0-3+ scale)
Quantify percentage of positive cells in defined tissue areas
Use digital image analysis software for objective quantification
Express results as H-score (intensity × percentage) or modified scoring system
Research on CTGF often employs multiple normalization strategies. In studies investigating CTGF expression in liver injury models, 18S rRNA normalization for qRT-PCR and GAPDH for Western blot analysis have provided consistent results .
CTGF expression varies significantly across pathological conditions, providing valuable diagnostic and research insights:
In Fibrotic Diseases:
Liver Fibrosis: Sustained co-induction of CTGF and integrin β6 mRNAs observed from days 7 to 33 after DDC treatment, with 5-fold increase of CTGF mRNA in CCl₄-induced damage
Pulmonary Fibrosis: Significantly elevated CTGF in idiopathic pulmonary fibrosis (IPF), contributing to excessive extracellular matrix production
Cardiac Fibrosis: Increased CTGF expression in post-myocardial infarction remodeling, with CTGF inhibition reducing heart weight-to-body weight ratio
Skin Fibrosis: Transgenic mice overexpressing CTGF in fibroblasts show accelerated dermal fibrosis with marked expansion of myofibroblast populations
In Cancer:
Hepatocellular Carcinoma: Increased expression associated with worse prognosis; CTGF protein from tumor samples (~42 kDa) shows different migration pattern than non-tumor tissues
Pancreatic Cancer: Elevated CTGF expression contributes to desmoplastic reaction; targeted in clinical trials with pamrevlumab (FG-3019)
In Neurological Disorders:
Alzheimer's Disease: Elevated CTGF expression in astrocytes surrounding amyloid plaques; facilitates Aβ uptake and degradation via MMP-dependent mechanisms
Cerebrovascular Disease: Increased in vascular endothelial cells after ischemic injury
Expected Expression Ranges:
For quantitative ELISA measurements in human samples:
Normal serum/plasma: Typically <5 ng/mL
Fibrotic conditions: Often elevated 2-10 fold above normal
Cancer patients: Variable elevation depending on tumor type and stage
Understanding these expression patterns helps in experimental design and interpretation of results across different disease models .
Discrepancies between CTGF protein and mRNA levels are common and can provide valuable biological insights:
Potential Mechanisms Explaining Discrepancies:
Post-transcriptional regulation: miRNAs may target CTGF mRNA without affecting transcription
Protein stability differences: CTGF protein undergoes proteolytic processing that affects detection
Secretion dynamics: As a secreted protein, cellular CTGF levels may not reflect mRNA production
Tissue-specific processing: CTGF from different tissues shows variable migration patterns on Western blot (~42 kDa in tumor vs. different in non-tumor)
Analysis Approaches:
Temporal analysis: Examine time course data to identify delays between mRNA induction and protein accumulation
Cellular fractionation: Analyze intracellular vs. secreted CTGF separately
Protein half-life studies: Use cycloheximide chase experiments to determine CTGF protein stability
Multiple detection methods: Complement Western blot with ELISA, IHC, and mass spectrometry
Interpretation Framework:
High mRNA/low protein suggests post-transcriptional inhibition or rapid protein turnover
Low mRNA/high protein suggests protein stabilization or accumulation of secreted CTGF in matrix
Different isoforms or processed forms may be detected preferentially by different methods
Validation Strategies:
In research on liver injury, studies found ubiquitous induction of both CTGF mRNA and protein in non-tumor and tumor areas, but Western blot revealed different migration patterns, suggesting tissue-specific post-translational modifications that may explain functional differences .
Poor sensitivity in CTGF detection can stem from multiple factors requiring systematic troubleshooting:
Antibody-Related Factors:
Epitope accessibility: CTGF undergoes proteolytic processing; antibodies targeting processed regions may show reduced binding
Antibody quality: Use antibodies specifically validated for your application with documented sensitivity
Antibody pairs: Test multiple capture-detection antibody combinations; some pairs (documented sensitivity as low as 0.19 ng/mL) significantly outperform others
Sample-Related Solutions:
Proteolytic degradation: Add protease inhibitor cocktails to all buffers during sample preparation
Sample concentration: Use immunoprecipitation or centrifugal concentration filters for dilute samples
Matrix effects: Optimize sample dilution to minimize interference from complex matrices
Binding interference: Pre-clear samples with protein A/G if high background is observed
Protocol Optimization:
Signal amplification: Implement tyramide signal amplification or poly-HRP detection systems
Incubation conditions: Extend primary antibody incubation time (overnight at 4°C)
Blocking optimization: Test different blocking agents (BSA, casein, commercial blockers)
Buffer optimization: Adjust salt concentration and pH to enhance antibody-antigen binding
Instrument and Detection Optimization:
Substrate selection: Switch to more sensitive chemiluminescent or fluorescent substrates
Extended exposure: Optimize imaging parameters for detection near sensitivity limits
Equipment calibration: Ensure detection instruments are properly calibrated
For particularly challenging samples, consider targeted enrichment strategies using heparin-sepharose chromatography, as CTGF binds heparin with high affinity, enabling purification and concentration prior to analysis .
Distinguishing between CTGF isoforms and proteolytic fragments requires specialized techniques:
Molecular Weight-Based Differentiation:
Western blot with gradient gels: Use 4-20% gradient gels to maximize resolution of different CTGF forms
Size comparison: Full-length CTGF appears at ~38-42 kDa; proteolytic fragments range from 10-30 kDa
Multiple antibodies: Use antibodies targeting different epitopes to identify specific fragments
Standard comparison: Include recombinant full-length and fragment controls
Domain-Specific Detection:
Domain-specific antibodies: Use antibodies that recognize specific domains (N-terminal vs. C-terminal)
Selective immunoprecipitation: Capture with domain-specific antibody followed by detection with another
Competing peptides: Use domain-specific blocking peptides to confirm fragment identity
Advanced Analytical Techniques:
Mass spectrometry: LC-MS/MS can precisely identify fragments and post-translational modifications
2D gel electrophoresis: Separate isoforms based on both molecular weight and isoelectric point
Size exclusion chromatography: Fractionate samples before immunodetection
Functional Validation:
Domain-specific bioassays: Different domains mediate distinct biological activities
Binding partner analysis: Various CTGF fragments interact selectively with different binding partners
Cell-based assays: Test fragments for specific activities (e.g., fibroblast proliferation)
The CC samples from hepatocellular carcinoma patients revealed CTGF protein bands migrating differently (~42 kDa) compared to non-tumor tissues, highlighting the importance of distinguishing between tissue-specific forms for accurate interpretation .
Managing cross-reactivity in multi-species CTGF studies requires careful antibody selection and validation:
Species Homology Considerations:
Antibody Selection Strategies:
Validated cross-reactivity: Choose antibodies explicitly validated for multiple species of interest
Epitope mapping: Select antibodies recognizing epitopes with known sequence conservation or divergence
Monoclonal specificity: For distinguishing closely related species, monoclonal antibodies can offer higher specificity
Negative controls: Include samples from CTGF knockout animals or tissues known to lack CTGF expression
Experimental Validation Approaches:
Peptide competition: Conduct blocking experiments with species-specific peptides
Recombinant protein controls: Include species-specific recombinant CTGF proteins as standards
Cross-absorption: Pre-absorb antibodies with recombinant proteins from non-target species
Sequential immunodepletion: Deplete cross-reactive antibodies using immobilized proteins
Analysis Methods to Address Cross-Reactivity:
Comparative titration: Determine relative affinities for target species
Species-specific PCR primers: Complement protein detection with species-specific mRNA quantification
Mass spectrometry: Identify species-specific peptides for targeted proteomics
Domain-specific detection: Target domains with greater sequence divergence between species
For studies using human CTGF antibody pairs in animal models, researchers have successfully implemented these approaches to distinguish endogenous from transgenic CTGF, particularly in fibrosis and cancer models where both human and murine forms may be present .
Advanced in vivo imaging of CTGF represents a frontier in fibrosis research:
Antibody Modification for In Vivo Applications:
Fluorescent conjugation: Direct labeling with near-infrared fluorophores for optical imaging
Radioisotope labeling: Conjugation with PET tracers (e.g., ⁸⁹Zr, ¹²⁴I) for deep tissue detection
Nanoparticle conjugation: Attachment to gold nanoparticles or quantum dots for multimodal imaging
Fragment development: Use Fab or scFv fragments for improved tissue penetration and faster clearance
Novel CTGF-Targeting Approaches:
Peptide-coated nanocluster probes: Recently developed gold nanoclusters specifically target CTGF with high affinity (KD ~21.9 nM), penetrating the blood-brain barrier for NIR-II imaging
Bispecific antibodies: Engineer antibodies targeting both CTGF and tissue-specific markers
Activatable probes: Design probes that fluoresce only upon binding to CTGF, reducing background
MMP-responsive systems: Create detection systems responsive to CTGF-associated MMP activity
Multimodal Imaging Applications:
Combined PET-CT: Correlate CTGF distribution with anatomical features
Optical-MRI fusion: Use dual-labeled antibodies for complementary resolution and sensitivity
Intravital microscopy: Apply fluorescently labeled antibodies for real-time cellular imaging
Chromogenic imaging: Leverage peroxidase-like activity for postmortem tissue analysis
Validation and Quantification Methods:
Dynamic imaging protocols: Track CTGF changes longitudinally during disease progression
Co-registration with fibrosis markers: Correlate CTGF signal with established fibrosis measurements
Pharmacokinetic modeling: Optimize imaging timepoints based on antibody biodistribution
ICP-MS quantitation: Provide precise measurement of probe accumulation in tissues
These advanced approaches enable early detection of fibrotic changes before conventional clinical manifestations appear, as demonstrated with peptide-coated gold nanoclusters that detect elevated CTGF in Alzheimer's disease models before amyloid plaque formation .
Development of therapeutic CTGF antibodies has progressed significantly, offering insights for researchers:
Current Therapeutic Antibody Development:
Pamrevlumab (FG-3019): Human monoclonal antibody against CTGF that has shown efficacy in clinical trials for idiopathic pulmonary fibrosis, pancreatic cancer, and Duchenne muscular dystrophy
FG-3149: Chimeric antibody with the binding motif of FG-3019 but a mouse IgG2a constant region, designed to reduce immunogenicity in rodent models
Mechanism-specific antibodies: Development of antibodies targeting specific CTGF domains to inhibit distinct functions
Experimental Design for Anti-CTGF Therapy Assessment:
Disease-specific models: Cardiac remodeling post-MI shows reduced heart weight-to-body weight ratio with CTGF mAb treatment
Timing optimization: Early vs. late intervention studies assess preventive vs. therapeutic efficacy
Combination approaches: Test CTGF antibodies with existing standards of care
Biomarker identification: Develop companion diagnostics to identify responders
Molecular and Cellular Mechanisms:
Signaling pathway analysis: CTGF mAb treatment induces ERK and JNK2 phosphorylation in infarct scars
Cell-specific effects: Differential impact on various cell types (fibroblasts vs. immune cells)
Extracellular matrix remodeling: Effects on collagen deposition and matrix organization
Immune cell recruitment: Potential impact on CD11b+ cell accumulation in pulmonary hypertension models
Emerging Therapeutic Strategies:
Antibody-drug conjugates: Delivery of anti-fibrotic or anti-inflammatory agents directly to CTGF-expressing cells
Bispecific formats: Dual targeting of CTGF and complementary pathways (e.g., TGF-β)
Domain-specific targeting: Selective inhibition of CTGF domains mediating specific pathological effects
Cell-type selective delivery: Development of antibodies preferentially targeting CTGF in specific cellular contexts
Experimental studies with anti-CTGF antibodies have revealed promising therapeutic potential, demonstrating reduced infarct expansion index and improved cardiac function in MI models, suggesting broad applications across fibrotic diseases .
The complex relationship between CTGF and matrix metalloproteinases (MMPs) represents a crucial area for advanced research:
Detection of CTGF-MMP Interactions:
Co-immunoprecipitation: Capture CTGF complexes with anti-CTGF antibodies and probe for associated MMPs
Proximity ligation assays: Visualize and quantify CTGF-MMP interactions in situ with subcellular resolution
FRET-based reporters: Develop fluorescent biosensors to detect CTGF-MMP binding in real-time
Surface plasmon resonance: Determine binding kinetics and affinities between purified CTGF and MMPs
Functional Relationship Studies:
Cell-specific expression: CTGF enhances extracellular Aβ degradation via membrane-bound MMP14 in glia and extracellular MMP13 in neurons
Conditional knockouts: Use Ctgf flox/flox with inducible Cre systems to study temporal relationships with MMPs
Domain-specific mutations: Engineer CTGF variants with altered MMP binding sites to dissect functional interactions
Substrate specificity: Investigate how CTGF modulates MMP substrate preferences
Tissue Remodeling Assessment:
Multiplex immunostaining: Simultaneously visualize CTGF, MMPs, and matrix components
In situ zymography: Correlate CTGF expression with localized MMP activity
Second harmonic generation imaging: Assess collagen reorganization in relation to CTGF-MMP activity
Gene expression profiling: Analyze coordinated regulation of CTGF and MMP family members
Translational Applications:
Biomarker development: Measure CTGF-MMP ratios as indicators of active remodeling
Therapeutic targeting: Design interventions targeting CTGF-MMP interactions rather than individual proteins
Diagnostic imaging: Develop probes detecting active CTGF-MMP complexes
Personalized medicine: Stratify patients based on CTGF-MMP profiles for targeted therapies
Research on Alzheimer's disease has demonstrated that CTGF facilitates Aβ uptake and degradation through specific MMP pathways, with glial cells using membrane-bound MMP14 and neurons utilizing extracellular MMP13, providing a functional link in neuron-glia communication that protects against Aβ-induced CNS degeneration .
Single-cell analysis of CTGF represents a frontier for understanding its role in complex tissue environments:
Single-Cell Protein Detection Methods:
Mass cytometry (CyTOF): Use metal-labeled anti-CTGF antibodies for high-dimensional analysis
Single-cell Western blotting: Separate and detect CTGF from individual cells in microfluidic platforms
Imaging mass cytometry: Visualize CTGF expression with subcellular resolution in tissue sections
Proximity extension assays: Detect CTGF with high sensitivity using oligonucleotide-conjugated antibody pairs
Integrated Multi-Omics Approaches:
CITE-seq: Combine CTGF antibody detection with single-cell transcriptomics
Single-cell spatial transcriptomics: Map CTGF mRNA expression with spatial context
Cellular indexing of transcriptomes and epitopes (CITE): Correlate CTGF protein with global transcriptional profiles
Single-cell secretome analysis: Measure CTGF secretion from individual cells
In Situ Analysis Techniques:
Multiplexed immunofluorescence: Co-localize CTGF with cell-type markers and signaling molecules
In situ hybridization with immunodetection: Combine CTGF mRNA and protein visualization
Live-cell imaging: Monitor CTGF dynamics in real-time using fluorescent protein fusions or antibody fragments
Reporter mouse models: Use CTGF-GFP reporter mice to track expression in specific cell populations
Computational Analysis Methods:
Trajectory inference: Reconstruct CTGF expression dynamics during cellular differentiation and activation
Cell-cell communication modeling: Infer CTGF-mediated intercellular signaling networks
Spatial statistics: Analyze neighborhood relationships between CTGF-expressing and responding cells
Multi-modal data integration: Combine proteomic, transcriptomic, and spatial information
Research utilizing CTGF-GFP mice has already provided insights into cell-specific expression patterns during liver injury, revealing differential expression in oval cells versus myofibroblasts, which would not be apparent in bulk tissue analysis .
Selective targeting of CTGF domains represents an advanced frontier for precise modulation of its multiple functions:
Domain-Specific Antibody Development:
Structure-guided design: Use crystallographic data to design antibodies against specific functional epitopes
Phage display selection: Screen antibody libraries against isolated CTGF domains
Yeast surface display: Evolve antibodies with enhanced specificity for particular domains
Site-directed mutagenesis: Generate antibodies targeting regions outside of conserved functional sites
Functional Domain Characterization:
CTGF contains four distinct domains with specific functions:
IGFBP domain: Insulin-like growth factor binding
VWC domain: TGF-β binding and receptor interaction
TSP1 domain: Cell attachment and extracellular matrix binding
CT domain: Heparin binding and dimerization
Application-Specific Targeting Strategies:
Fibrosis inhibition: Target domains mediating TGF-β signaling enhancement
Angiogenesis modulation: Focus on domains involved in endothelial cell function
Matrix interaction disruption: Target domains mediating binding to extracellular matrix proteins
Cell migration inhibition: Develop antibodies against domains involved in integrin binding
Advanced Antibody Formats:
Biparatopic antibodies: Target two different CTGF epitopes simultaneously
Intrabodies: Develop antibodies for intracellular targeting of newly synthesized CTGF
pH-dependent binding: Create antibodies that release in specific cellular compartments
Conditionally active antibodies: Design antibodies activated only in disease microenvironments
Recent research demonstrated differential protective effects of CTGF against Aβ neurotoxicity on neurons and glia, where CTGF enhanced Aβ degradation via distinct MMP pathways in different cell types, suggesting that domain-specific targeting could selectively modulate beneficial versus pathological CTGF functions .
By strategically targeting specific CTGF domains with domain-selective antibodies, researchers can dissect the multifunctional nature of this protein and potentially develop therapeutic approaches with enhanced specificity and reduced off-target effects.