Galectin 3 enhances platelet aggregation and thrombosis via Dectin-1 activation: a translational study

Yufei Chen1,2, Wanrong Fu3, Yunbo Zheng3

  • 1Academy of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

European Heart Journal
|February 15, 2022
PubMed

Insights

Galectin-3, elevated in cardiovascular disease, directly enhances platelet activation and thrombus formation. A Galectin-3 inhibitor, TD139, shows potent antithrombotic effects without increasing bleeding risk.

Area of Science:

  • Cardiovascular Biology
  • Hematology
  • Immunology

Background:

  • Galectin-3, a lectin, is elevated in cardiovascular disease and implicated in heart failure.
  • Its direct role in platelet activation and thrombosis is not well understood.
  • Platelet hyperreactivity contributes to thrombotic events in cardiovascular conditions.

Purpose of the Study:

  • To investigate the direct impact of Galectin-3 on platelet activation and thrombosis.
  • To elucidate the underlying molecular mechanisms of Galectin-3-mediated platelet responses.
  • To evaluate the therapeutic potential of Galectin-3 inhibition in preclinical models.

Main Methods:

  • Correlating plasma Galectin-3 levels with platelet aggregation and thrombus formation in coronary artery disease (CAD) patients.
  • Conducting in vitro platelet function assays and in vivo thrombosis models.
  • Utilizing Dectin-1 knockout mice and a Dectin-1 inhibitor (laminarin) to explore mechanistic pathways.
  • Assessing the efficacy and safety of the Galectin-3 inhibitor TD139 in ApoE-/- mice.

Main Results:

  • Elevated plasma Galectin-3 positively correlated with platelet aggregation and thrombus formation in CAD patients.
  • Galectin-3 directly potentiated platelet activation and in vivo thrombosis.
  • Galectin-3 activates platelets via Dectin-1, leading to spleen tyrosine kinase phosphorylation, increased intracellular calcium, protein kinase C activation, and reactive oxygen species production.
  • TD139 suppressed Galectin-3-induced platelet activation and occlusive thrombosis in mice without increasing bleeding.
  • TD139 also reduced microvascular thrombosis and protected the heart from ischemia-reperfusion injury.

Conclusions:

  • Galectin-3 is identified as a novel positive regulator of platelet hyperreactivity and thrombus formation in CAD.
  • Galectin-3 inhibitors, like TD139, demonstrate significant antithrombotic effects with a favorable safety profile regarding bleeding.
  • These findings suggest that Galectin-3 inhibitors hold therapeutic promise as antiplatelet agents for individuals with elevated Galectin-3 levels.
Abstract

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