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Galectin-3 in acute coronary syndrome
Luisa Agnello1, Giulia Bivona1, Bruna Lo Sasso1
1Sezione Biochimica Clinica e Medicina Molecolare Clinica, Dipartimento di Biopatologia e Biotecnologie Mediche, Università degli Studi di Palermo, Italy.
Insights
Galectin-3 shows promise as a prognostic biomarker for acute coronary syndrome (ACS) patients. Studies indicate Gal-3 independently predicts mortality and heart failure (HF) after ACS events.
Area of Science:
- Cardiology
- Biomarkers
- Clinical Research
Background:
- Acute coronary syndrome (ACS) is a leading cause of global hospitalizations.
- Biomarkers are crucial for diagnosing, stratifying risk, and predicting prognosis in cardiovascular diseases like ACS.
- Troponin is the current gold standard for ACS diagnosis, but research seeks additional prognostic markers.
Purpose of the Study:
- To review existing literature on the prognostic role of Galectin-3 (Gal-3) in patients with ACS.
- To evaluate Gal-3 as a potential predictive biomarker for adverse outcomes following ACS.
Main Methods:
- Literature review of experimental and clinical studies.
- Analysis of data on Gal-3's association with mortality and heart failure (HF) in ACS patients.
Main Results:
- Galectin-3 (Gal-3) has emerged as a significant prognostic marker in the context of ACS.
- Experimental and clinical data suggest Gal-3 plays a key role in inflammation and fibrosis.
- Gal-3 has been identified as an independent predictor of all-cause mortality, cardiovascular death, and HF occurrence post-ACS.
Conclusions:
- Galectin-3 is a promising prognostic biomarker for patients experiencing acute coronary syndrome.
- Gal-3's involvement in inflammatory and fibrotic pathways supports its predictive value for adverse cardiovascular outcomes.
- Further investigation into Gal-3 may enhance risk stratification and management strategies for ACS patients.
Abstract:
Acute coronary syndrome (ACS) is a very common cause of hospitalizations worldwide each year. In the past decades biomarkers have become an indispensable tool for diagnosis, risk stratification and prognosis of cardiovascular disease, including ACS. Despite Troponin is considered the gold standard in diagnosis of ACS, several molecules have been investigated to identify predictive biomarkers of prognosis. Among these, Gal-3 has emerged as a promising prognostic marker. It has a pivotal role in inflammation and fibrosis. Both experimental and clinical studies have shown Gal-3 is an independent predictor of all-cause mortality, cardiovascular death and occurrence of HF following ACS. This article reviews the literature data regarding the role of Galectin-3 in ACS setting.
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