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Updated: Oct 22, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Serum Galectin-3 Level Is Positively Associated with Endothelial Dysfunction in Patients with Chronic Kidney Disease
Bang-Gee Hsu1,2, Chih-Hsien Wang1,2, Yu-Hsien Lai1,2
1School of Medicine, Tzu Chi University, Hualien 97004, Taiwan.
Insights
Serum galectin-3 and C-reactive protein (CRP) are linked to poorer endothelial function in chronic kidney disease (CKD) patients. These biomarkers may help identify endothelial dysfunction in CKD.
Area of Science:
- Cardiovascular Research
- Nephrology
- Biomarker Discovery
Background:
- Galectin-3 is a known biomarker for cardiovascular stress and inflammation, potentially predicting adverse cardiovascular events.
- The precise relationship between galectin-3 and endothelial function in chronic kidney disease (CKD) patients requires further elucidation.
Purpose of the Study:
- To investigate the association between serum galectin-3 levels and endothelial function in patients with stages 3-5 CKD.
- To determine if galectin-3 is a valuable biomarker for endothelial dysfunction in this patient population.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to measure serum galectin-3 levels in 130 CKD patients.
- Endothelial function was assessed noninvasively using the digital thermal monitoring test, quantified as a vascular reactivity index (VRI).
- Patients were categorized into poor, intermediate, and good vascular reactivity groups based on VRI values.
Main Results:
- Decreased VRI (indicating poorer endothelial function) was significantly associated with increased serum galectin-3 and C-reactive protein (CRP) levels.
- Serum galectin-3 positively correlated with CRP and negatively correlated with estimated glomerular filtration rate (eGFR).
- Multivariable analysis confirmed that serum galectin-3 and CRP levels were significant negative predictors of VRI.
Conclusions:
- Galectin-3, in conjunction with CRP, is associated with endothelial function in CKD patients.
- Galectin-3 shows potential as a biomarker for endothelial dysfunction and a modulator of endothelial function in individuals with CKD.
Abstract:
Galectin-3, which is a novel biomarker of cardiovascular stress and related to inflammation, could predict adverse cardiovascular events. However, its relationship with endothelial function in patients with chronic kidney disease (CKD) remains inconclusive. This study aimed to investigate the association between serum galectin-3 levels and endothelial function in patients with stages 3-5 CKD. Fasting blood samples were obtained from 130 patients. Serum galectin-3 levels were determined using the enzyme-linked immunosorbent assay. The endothelial function, demonstrated as a vascular reactivity index (VRI), was measured noninvasively through digital thermal monitoring test. Then, we sorted the patients into poor, intermediate, and good vascular reactivity (VRI < 1.0, 1.0 ≤ VRI < 2.0, and VRI ≥ 2.0), accounting for 24 (18.5%), 44 (33.8%), and 62 (47.7%) patients, respectively. As the VRI decreased, the serum galectin-3 and C-reactive protein (CRP) levels significantly increased. The galectin-3 value positively correlated with the CRP value but negatively correlated with estimated glomerular filtration rate. In multivariable stepwise linear regression analysis, serum log-transformed galectin-3 level and log-transformed CRP were significantly negatively associated with VRI values. Therefore, galectin-3 together with CRP is associated with VRI values and is a potential endothelial function modulator and a valuable biomarker of endothelial dysfunction in patients with CKD.
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