Diagnostic Value of Serum Galectin-3 Binding Protein Level in Patients with Pulmonary Arterial Hypertension

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BACKGROUND: Pulmonary arterial hypertension (PAH) still lacks effective biomarkers to assist in its diagnosis and prognosis. Galectin-3 binding protein (Gal-3BP) plays a role in immune and inflammatory diseases.

OBJECTIVE: This study aimed to evaluate Gal-3BP as a prognostic and predictive factor in patients with PAH.

METHODS: From January 2017 to December 2019, we enrolled 167 consecutive PAH patients and 58 healthy controls. Right heart catheterization (RHC) was used to diagnose PAH. Serum Gal-3BP levels were measured by high-sensitivity human enzyme-linked immunosorbent assay (ELISA).

RESULTS: Serum Gal-3BP levels in the PAH group were significantly higher compared with the control group (4.87±2.09 vs 2.22±0.86 μg/mL, p<0.001). Gal-3BP level was correlated with several hemodynamic parameters obtained from RHC (p<0.001). Multivariate linear regression analysis showed that Gal-3BP was a risk factor for PAH (odds ratio (OR)=2.947, 95% CI: 1.821-4.767, p<0.001). The optimal cut-off value of serum Gal-3BP level for predicting PAH was 2.89 μg/mL (area under the curve (AUC)=0.860, 95 % CI: 0.811-0.910, p<0.001). Kaplan-Meier analysis showed that Gal-3BP levels above the median (4.87 μg/mL) were associated with an increased risk of death in patients with PAH (hazard ratio (HR)=8.868, 95 % CI: 3.631-21.65, p<0.0001). Cox multivariate risk regression analysis showed that Gal-3BP was a risk factor for death in PAH patients (HR=2.779, 95 % CI: 1.823-4.237, p<0.001).

CONCLUSION: Serum Gal-3BP levels were increased in patients with PAH, and levels of Gal-3BP were associated with the severity of PAH. Gal-3BP might have predictive value for the diagnosis and prognosis of PAH.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Current vascular pharmacology - 22(2024), 1 vom: 30., Seite 67-77

Sprache:

Englisch

Beteiligte Personen:

Li, Mingfei [VerfasserIn]
Pan, Wenzhi [VerfasserIn]
Tian, Dan [VerfasserIn]
Chen, Dandan [VerfasserIn]
Zhang, Xiaochun [VerfasserIn]
Zhang, Yuan [VerfasserIn]
Chen, Shasha [VerfasserIn]
Zhou, Daxin [VerfasserIn]
Ge, Junbo [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Galectin-3 binding protein
Journal Article
LGALS3 protein, human
Mitochondrial metabolic dysfunction.
NT-proBNP
Pulmonary hypertension
Survival
Vascular disease

Anmerkungen:

Date Completed 07.03.2024

Date Revised 12.03.2024

published: Print

Citation Status MEDLINE

doi:

10.2174/0115701611268078231010072521

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365291242