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Galectin-3 Mediates Heme-Induced Multi-Organ Dysfunction by Modulating the Splenic Immune Microenvironment.
Mirjana Milinkovic1, Marija Milovanovic2,3, Jelena Milovanovic2,4
1Institute for Transfusiology and Hemobiology, Military Medical Academy, 11000 Belgrade, Serbia.
Diseases (Basel, Switzerland)
|May 26, 2026
Summary
Galectin-3 (Gal-3) exacerbates organ injury during acute hemolysis by promoting inflammation. Eliminating Gal-3 shifts the immune response, protecting organs from heme-induced damage.
Area of Science:
- Immunology
- Hematology
- Pathology
Background:
- Acute intravascular hemolysis releases heme, causing systemic inflammation and organ damage.
- Galectin-3 (Gal-3) is an inflammatory modulator, but its role in heme-induced injury is unclear.
Purpose of the Study:
- To investigate the role of Gal-3 in heme-induced organ injury.
- To determine how Gal-3 influences the immune response during hemolysis.
Main Methods:
- A phenylhydrazine (PHZ)-induced acute hemolysis model in wild-type (WT) and Gal-3 knockout (KO) mice.
- Assessment of tissue damage, hemolysis levels, anemia, and splenic immune cell populations.
Main Results:
- Gal-3 deficiency reduced liver, kidney, and pancreas injury despite similar hemolysis levels.
- WT mice showed a pro-inflammatory splenic environment with Gal-3.
- Gal-3 KO mice exhibited an immunoregulatory phenotype with increased regulatory T cells and IL-10+ macrophages, preserving organ architecture.
Conclusions:
- Gal-3 mediates heme-induced systemic inflammation and organ injury.
- Absence of Gal-3 promotes an immunoregulatory splenic phenotype, alleviating multi-organ stress.
- Gal-3 is a potential therapeutic target for managing complications in acute hemolytic crises.
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