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Targeting galectin-3 in inflammatory and fibrotic diseases
Selena Bouffette1, Iuliana Botez2, Frédéric De Ceuninck3
1Servier, Neurology and Immuno-inflammation Therapeutic Area, Servier R&D Center, Gif-sur-Yvette, France; Université Paris-Saclay, Inserm, Inflammation Microbiome and Immunosurveillance, Orsay, France.
Abstract:
Galectin (Gal)-3 is a β-galactoside-binding lectin emerging as a key player in cardiac, hepatic, renal, and pulmonary fibrosis and inflammation, respiratory infections caused by COVID-19, and neuroinflammatory disorders. Here, we review recent information highlighting Gal-3 as a relevant therapeutic target in these specific disease conditions. While a causal link was difficult to establish until now, we discuss how recent strategic breakthroughs allowed us to identify new-generation Gal-3 inhibitors with improved potency, selectivity, and bioavailability, and report their usefulness as valuable tools for proof-of-concept studies in various preclinical models of the aforementioned diseases, with emphasis on those actually in clinical stages. We also address critical views and suggestions intended to expand the therapeutic opportunities provided by this complex target.
Insights
Galectin-3 (Gal-3) is a key factor in various fibrotic and inflammatory diseases. New Gal-3 inhibitors show promise as therapeutic tools for conditions like COVID-19 and neuroinflammation.
Area of Science:
- Biochemistry
- Immunology
- Pharmacology
Background:
- Galectin-3 (Gal-3) is a β-galactoside-binding lectin implicated in fibrosis and inflammation across multiple organs.
- Gal-3 plays a role in cardiac, hepatic, renal, pulmonary, and neuroinflammatory disorders, as well as respiratory infections like COVID-19.
Purpose of the Study:
- To review recent advancements in Gal-3 inhibition as a therapeutic strategy.
- To highlight new-generation Gal-3 inhibitors and their preclinical and clinical applications.
Main Methods:
- Literature review of recent studies on Gal-3 inhibitors.
- Analysis of preclinical data and ongoing clinical trials for Gal-3 targeted therapies.
Main Results:
- Recent breakthroughs have led to the development of potent, selective, and bioavailable Gal-3 inhibitors.
- These inhibitors have demonstrated efficacy in preclinical models of various fibrotic and inflammatory diseases.
- Several Gal-3 inhibitors are progressing through clinical trials.
Conclusions:
- Galectin-3 is a validated therapeutic target for a range of debilitating diseases.
- New Gal-3 inhibitors represent promising therapeutic agents with potential for broad clinical application.
- Further research and strategic development are crucial to fully exploit Gal-3 as a therapeutic target.
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