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.

Toxins
|August 26, 2021
PubMed

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.

Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
146
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
176
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
35
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
274
Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
210
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
312