Galectin-3 and fibrosis intensity in Chronic Chagas Cardiomyopathy: a systematic review

Ana Thereza Chaves1, Ana Laura Grossi de Oliveira1, Nathalia Sernizon Guimarães1

  • 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-Graduação em Ciências da Saúde: Medicina Tropical e Doenças Infecciosas, Belo Horizonte, Minas Gerais, Brazil.

Insights

Galectin-3 may not be a reliable biomarker for fibrosis in Chronic Chagas Cardiomyopathy (CCC). While animal studies suggest a link, human data shows no significant association, questioning its clinical utility for fibrosis assessment in Chagas disease.

Area of Science:

  • Cardiology
  • Immunology
  • Biomarker Research

Background:

  • Chronic Chagas Cardiomyopathy (CCC) is a significant cause of myocarditis, characterized by inflammation, structural changes, and fibrosis.
  • Galectin-3 is implicated in inflammatory processes and myocardial fibrosis, but its role in CCC fibrosis remains unclear.
  • Early identification of fibrosis intensity is crucial for guiding pharmacological therapy in CCC.

Purpose of the Study:

  • To systematically review and evaluate Galectin-3 as a biomarker for fibrosis intensity in Chronic Chagas Cardiomyopathy (CCC).

Main Methods:

  • A systematic review was conducted by two independent reviewers across five databases (PubMed, EMBASE, Cochrane Library, Scopus, Lilacs).
  • Search terms included 'galectin-3', 'biomarkers', 'fibrosis', 'Chagas cardiomyopathy', and 'Chagas disease'.
  • Seven studies (four animal models, three human) met the inclusion criteria.

Main Results:

  • Experimental data from animal models (75% of studies) indicated an association between Galectin-3 expression and fibrosis in CCC.
  • However, human studies (80% of studies) found no direct connection between myocardial fibrosis and Galectin-3 expression.
  • Human findings did not provide significant evidence linking Galectin-3 to fibrosis development in Chagas disease.

Conclusions:

  • Based on current human data, Galectin-3 may not be a suitable biomarker for assessing fibrosis intensity in Chronic Chagas Cardiomyopathy.
  • Further research is needed to clarify the role of Galectin-3 in the pathophysiology of Chagas disease and its potential as a biomarker.

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