
The Cyr61/CTGF/NOV (CCN) family consists of six members, CCN1 to CCN6, and the family is named after the initials of the first three members found among them: Cysteine-rich61 (CYR61, CCN1), connective tissue growth factor (CTGF, CCN2), and nephroblastoma overexpressed (NOV, CCN3). The three additional members are Wnt-inducible secreted proteins WISP1 (CCN4), WISP2 (CCN5), and WISP3 (CCN6) (Holbourn et al., 2008; Krupska et al., 2015). The CCN family is a secretory matricellular protein present in the extracellular matrix (ECM) that does not serve as a structural support for the ECM, but performs various regulatory functions by binding to cell surface receptors, activating intracellular signaling pathways, and increasing the intensity of cellular responses. These functions are also related to essential biological processes, such as the differentiation of endothelial cells, the initial development of skeletal bones, the initial formation of a tumor, and wound healing (Holbourn et al., 2008). In contrast, overexpression of many CCN family members has been observed in various cancers, including pancreatic, breast, and lung cancers (Kim et al., 2018a). This suggests that abnormal expression levels of CCN proteins in cells may be linked to various diseases, including those of the nervous system.
The CCN family has a unique mosaic structure composed of modules that share functional identity. A general CCN protein consists of an N-terminal secretory signal peptide (SP) followed by four functional domains. (1) Insulin-like growth factor binding protein (IGFBP)-like domain, (2) von Willebrand factor type C (VWC) repeat domain, (3) thrombospondin type-1 (TSP-1) repeat domain, and (4) cysteine knot-containing (CT) domain. The six CCN family members share ~30-50% identity between their respective structures. However, in the case of CCN5, there is no CT domain, and CCN6 deficiencies 4 cysteine (Cys) residues among the 38 highly conserved Cys residues in the VWC domain. The N-termini (SP, IGFBP, VWC) and C-termini (TSP-1, CT) are connected by a variable hinge, and cleavage occurs easily in this region as it is vulnerable to proteolysis. In truncated molecules each domain displays biological functionality, and the function of an entire protein is determined by the collaboration of each domain (Brigstock, 1999; Holbourn et al., 2008; Krupska et al., 2015).
Each module or domain of the CCN protein interacts with a specific protein. The conserved structure of the CCN family members suggests the utilization of similar mechanisms through which common receptors or factors interact to perform biological functions. CCN family members activate signaling pathways through direct binding of cell surface receptors and multiple co-receptors. Therefore, cell- or time-specific regulation is possible through a combination of various receptors. Additionally, CCN proteins can directly bind to growth factors and cytokines, thereby regulating their intrinsic biological activities (Chen and Lau, 2009; Jun and Lau, 2011) (Fig. 1).
CCN1 is largely expressed in the heart, blood vessels, and blood during embryonic development (Kireeva et al., 1997). Cardial expression in mice starts from E8.5, and continues until E10.5. Its expression is important for the development of the aorta and pulmonary trunk (Mo and Lau, 2006) CCN1 is strongly associated with cardiovascular disease. Most
The expression pattern of CCN2 during development is similar to that of CCN1, and it appears at high levels in the endothelium, the cardiovascular system, and skeletal tissues (Hall-Glenn et al., 2012). In homozygous
During development, CCN3 is expressed at high levels in skeletal muscles, vascular smooth muscle cells, the central nervous system and chondrocytes (Su et al., 2001; Perbal, 2015). CCN3 is involved in myogenesis, affecting the formation and stabilization of attachment structures that transmit force from the muscle to tendon (Lafont et al., 2005). In contrast,
During development, CCN4 is expressed in limited amounts in osteoblasts and osteoblastic progenitor cells (French et al., 2004). Adult stage CCN4 is expressed in a wide range of organs, including the epithelium, heart, kidney, lung, pancreas, placenta, ovaries, small intestine, spleen, and brain (Katoh and Katoh, 2005). A CCN4 variant, lacking the VWC domain has been described in a small number of human gastric cancer tissues and normal chondrocytes (Tanaka et al., 2001). Further, CCN4 protects against neurodegeneration by inhibiting primary neuronal injury and apoptosis during oxygen glucose deprivation (Wang et al., 2012).
CCN5 is expressed in most embryonic stages, especially from E4.5, the very early implantation stage in the uterine wall (Myers et al., 2012).
CCN6 is a critical protein involved in the keeping of human articular cartilage (Baker et al., 2012). Mutations in the human CCN6 gene causes progressive pseudorheumatoid dysplasia (pseudorheumatic dysplasia). This disease causes articular cartilage loss from infancy and multiple joint and bone abnormalities (Yu et al., 2015). In contrast,
Post-translational modifications (PTMs) of CCN proteins are important for regulating secretion and function. O-fucosylation is a reaction in which fucose is attached to the hydroxyl group (O-linked) of a serine or threonine residue (Vasudevan and Haltiwanger, 2014). Protein O-fucosyltransferase2 mediates O-fucosylation of CCN1 at the Thr242 residue of the TSP1 domain leading to its secretion from the cell (Niwa et al., 2015). Glucosyl-galactosyl-hydroxylation, which rarely occurs in the Lys residue of collagen family proteins, is found on the Lys203 residue of CCN1 mediated by lysyl hydroxylase 3. This collagen-like glycosylation is required for secretion (Ishizawa et al., 2019). N-glycosylation is also reported in CCN2 and CCN3 (Bohr et al., 2010) In a later study, it was confirmed that there was an N-glycosylation modification in secreted CCN3. In addition, glycosylation of CCN3 also increases the migration and invasion of Jeg3 choriocarcinoma cells (Yang et al., 2011). Palmitoylation, a reversible PTM that attaches palmitate to cysteine residues via a thioester linkage (Resh, 2006), is known to occur on Cys241 located in the TSP-1 domain of CCN3, and is important for its extracellular secretion (Kim et al., 2018b).
Palmitoylation is an important modification known in other secretory proteins similar to CCN3. In Wnt proteins, one of the typical secretory proteins, glycosylation and palmitoylation are known to aid in the secretion Komekado et al., 2007). Porcupine (PORCN), an acyltransferase, is an important factor regulating normal secretion and signaling of Wnt in vertebrates. PORCN induces palmitoylation of Wnt protein in the endoplasmic reticulum (ER) (palmitoylation at Ser209 is essential for secretion, but requires additional N-glycosylation) (Mikels and Nusse, 2006; Gao and Hannoush, 2014). Another secreted protein, sonic hedgehog (Shh), also requires palmitoylation for secretion. The Shh precursor that enters the ER for processing is separated into two fragments through autocleavage, and palmitate is linked to the N-terminal cysteine residue of the N-terminal fragment by Hedgehog acyltransferase. Lipidated Shh is secreted from cells (Chamoun et al., 2001; Resh, 2021).
Palmitoylation of proteins is associated with various functions, such as membrane attachment, intracellular trafficking, protein localization, and protein secretion. The largest family of palmitoyl acyltransferases mediating this reaction is the aspartate-histidine-histidine-cysteine (DHHC) family, with a variant Cys2His2 zinc finger motif (Putilina et al., 1999; Greaves and Chamberlain, 2011). The DHHC family is a heterogeneous multi-pass transmembrane protein located in various compartments within the cell, such as the ER, Golgi apparatus, endosomes, and plasma membrane (Globa and Bamji, 2017). The palmitoylation at Cys241 of the TSP-1 domain of CCN3 was found to be mediated by zinc finger DHHC type containing 22 (zDHHC22). zDHHC22 had the highest mRNA expression among ZDHHC family members in the neuroblast and Neuro2a cell lines, and directly binds to CCN3 (Kim et al., 2018b). Absence of extracellular CCN3 secretion leads to inhibition of neuronal outgrowth (Fig. 2). This suggest that zDHHC22 is needed for the efficient secretion of CCN3 during the development of neurons, further suggesting a role for the zDHHC family in the secretion of other CCN proteins.
Furthermore, zDHHC mutations also induce a phenotype that can be linked to the disease (Chamberlain and Shipston, 2015). zDHHC5 mutant mice show partial embryonic lethality (Li et al., 2010) while zDHHC8 knockout mice displayed decreased synapse, spine, and dendritic complexity (Mukai et al., 2008). zDHHC13 mutants show decreased lifespan, decreased size, osteoporosis, and muscle loss (Saleem et al., 2010) and zDHHC17 mutant mice resulted in weight loss and decreased brain size (Singaraja et al., 2011). Since this is not a phenotype limited only to neurons, it shows that the CCN substrate-zDHHC enzyme action can also occur in various tissues and cells.
The processes and mechanisms involved in CCN and its signaling have been extensively studied because they act on numerous cellular processes related to various aspects of development. In particular, changes in the intracellular expression levels of CCN protein have been shown to be associated with various diseases. Although recent studies have shown that palmitoylation of CCN3 is important for the regulation of extracellular secretion, further research is required to determine whether this modification also regulates the secretion of other CCN proteins. Furthermore, evidence of
Cyr61/CTGF/NOV
Cysteine-rich61
connective tissue growth factor
nephroblastoma overexpressed
Wnt-inducible secreted proteins
extracellular matrix
signal peptide
insulin-like growth factor binding protein
von Willebrand factor type C
thrombospondin type-1
cysteine knot-containing
endoplasmic reticulum
porcupine O-acyltransferase
sonic hedgehog
aspartate-histidine-histidine-cysteine
Post-translational modifications
This research was supported by the Brain Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science and ICT (NRF-2017M3C7A1046154, 2020R1A6A1A06046235, 2022R1I1A1A01068448) and the KRIBB Research Initiative Program (KGM 5322214).
The authors declare no conflict of interest.