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Published on: April 1, 2019
Galectin-2 expression is dependent on the rs7291467 polymorphism and acts as an inhibitor of arteriogenesis
Anja M van der Laan1, Stephan H Schirmer, Margreet R de Vries
1Department of Cardiology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Insights
Galectin-2 inhibits arteriogenesis, the growth of collateral arteries in coronary artery disease (CAD) patients. Targeting galectin-2 may offer a new therapeutic strategy to improve blood flow in CAD.
Area of Science:
- Cardiovascular Biology
- Immunology
- Molecular Medicine
Background:
- Arteriogenesis, the growth of collateral arteries, is crucial for preserving heart function in obstructive coronary artery disease (CAD).
- Monocytes play a key role in arteriogenesis by supplying growth factors and enzymes.
- Understanding factors influencing human arteriogenesis is limited.
Purpose of the Study:
- To identify monocyte-specific targets critical for arteriogenesis in patients with CAD.
- To investigate the role of galectin-2 in the process of arteriogenesis.
Main Methods:
- Analysis of monocytes and macrophages from 50 CAD patients with varying collateral flow.
- Measurement of galectin-2 mRNA expression in different monocyte stimulation states.
- Evaluation of galectin-2's effect on arteriogenesis using a murine hindlimb model.
Main Results:
- Elevated galectin-2 mRNA expression was observed in monocytes and macrophages of patients with poor collateral circulation.
- Galectin-2 expression correlated with a specific polymorphism (rs7291467) in the LGALS2 gene.
- In vivo studies demonstrated that galectin-2 treatment impaired perfusion restoration.
Conclusions:
- Galectin-2 acts as a novel inhibitor of arteriogenesis.
- Modulating galectin-2 presents a potential therapeutic avenue for stimulating arteriogenesis in CAD patients.
Aims:
In patients with obstructive coronary artery disease (CAD), the growth of collateral arteries, i.e. arteriogenesis, can preserve myocardial tissue perfusion and function. Monocytes modulate this process, supplying locally the necessary growth factors and degrading enzymes. Knowledge on factors involved in human arteriogenesis is scarce. Thus, the aim of the present study is to identify targets in monocytes that are critical for arteriogenesis in patients with CAD.
Methods And Results:
A total of 50 patients with a chronic total coronary occlusion were dichotomized according to their collateral flow index. From each patient, RNA was isolated from unstimulated peripheral blood monocytes, monocytes stimulated by lipopolysaccharide (LPS) or interleukin (IL)-4, and from macrophages. Increased mRNA expression of galectin-2 was found in three out of four monocytic cell types of patients with a low capacity of the collateral circulation (P= 0.03 for unstimulated monocytes; P= 0.02 for LPS-stimulated monocytes; P= 0.20 for IL-4-stimulated monocytes; P= 0.02 for macrophages). Additionally, galectin-2 mRNA expression was significantly associated with the rs7291467 polymorphism in LGALS2 encoding galectin-2 in all four monocytic cell types. Patient with the rs7291467 CC genotype displayed highest galectin-2 expression, and also tended to have a lower arteriogenic response. To evaluate the effect of galectin-2 on arteriogenesis in vivo, we used a murine hindlimb model. Treatment with galectin-2 markedly impaired the perfusion restoration at Day 7.
Conclusion:
Collectively, these results identify galectin-2 as a novel inhibitor of arteriogenesis. Modulation of galectin-2 may constitute a new therapeutic strategy for the stimulation of arteriogenesis in patients with CAD.
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