Galectin‐3, a Biomarker Linking Oxidative Stress and Inflammation With the Clinical Outcomes of Patients With Atherothrombosis

Background Galectin‐3 (Gal‐3) participates in different mechanisms involved in atherothrombosis, such as inflammation, proliferation, or macrophage chemotaxis. Thus, there have been committed intensive efforts to elucidate the function of Gal‐3 in cardiovascular (CV) diseases. The role of Gal‐3 as a...

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Veröffentlicht in:Journal of the American Heart Association 2014-08, Vol.3 (4), p.n/a
Hauptverfasser: Madrigal‐Matute, Julio, Lindholt, Jes Sandal, Fernandez‐Garcia, Carlos Ernesto, Benito‐Martin, Alberto, Burillo, Elena, Zalba, Guillermo, Beloqui, Oscar, Llamas‐Granda, Patricia, Ortiz, Alberto, Egido, Jesus, Blanco‐Colio, Luis Miguel, Martin‐Ventura, Jose Luis
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container_issue 4
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container_title Journal of the American Heart Association
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creator Madrigal‐Matute, Julio
Lindholt, Jes Sandal
Fernandez‐Garcia, Carlos Ernesto
Benito‐Martin, Alberto
Burillo, Elena
Zalba, Guillermo
Beloqui, Oscar
Llamas‐Granda, Patricia
Ortiz, Alberto
Egido, Jesus
Blanco‐Colio, Luis Miguel
Martin‐Ventura, Jose Luis
description Background Galectin‐3 (Gal‐3) participates in different mechanisms involved in atherothrombosis, such as inflammation, proliferation, or macrophage chemotaxis. Thus, there have been committed intensive efforts to elucidate the function of Gal‐3 in cardiovascular (CV) diseases. The role of Gal‐3 as a circulating biomarker has been demonstrated in patients with heart failure, but its importance as a biomarker in atherothrombosis is still unknown. Methods and Results Because Gal‐3 is involved in monocyte‐to‐macrophage transition, we used fresh isolated monocytes and the in vitro model of macrophage differentiation of THP‐1 cells stimulated with phorbol myristate acetate (PMA). Gal‐3 release is increased by PMA in human monocytes and macrophages, a process involving exosomes and regulated by reactive oxygen species/NADPH oxidase activity. In asymptomatic subjects (n=199), Gal‐3 plasma levels are correlated with NADPH oxidase activity in peripheral blood mononuclear cells (r=0.476; P
doi_str_mv 10.1161/JAHA.114.000785
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Thus, there have been committed intensive efforts to elucidate the function of Gal‐3 in cardiovascular (CV) diseases. The role of Gal‐3 as a circulating biomarker has been demonstrated in patients with heart failure, but its importance as a biomarker in atherothrombosis is still unknown. Methods and Results Because Gal‐3 is involved in monocyte‐to‐macrophage transition, we used fresh isolated monocytes and the in vitro model of macrophage differentiation of THP‐1 cells stimulated with phorbol myristate acetate (PMA). Gal‐3 release is increased by PMA in human monocytes and macrophages, a process involving exosomes and regulated by reactive oxygen species/NADPH oxidase activity. In asymptomatic subjects (n=199), Gal‐3 plasma levels are correlated with NADPH oxidase activity in peripheral blood mononuclear cells (r=0.476; P&lt;0.001) and carotid intima‐media thickness (r=0.438; P&lt;0.001), a surrogate marker of atherosclerosis. Accordingly, Gal‐3 plasma concentrations are increased in patients with carotid atherosclerosis (n=158), compared to control subjects (n=115; 14.3 [10.7 to 16.9] vs. 10.4 [8.6 to 12.5] ng/mL; P&lt;0.001). Finally, on a 5‐year follow‐up study in patients with peripheral artery disease, Gal‐3 concentrations are significantly and independently associated with an increased risk for CV mortality (hazard ratio=2.24, 95% confidence interval: 1.06 to 4.73, P&lt;0.05). Conclusions Gal‐3 extracellular levels could reflect key underlying mechanisms involved in atherosclerosis etiology, development, and plaque rupture, such as inflammation, infiltration of circulating cells and oxidative stress. Moreover, circulating Gal‐3 concentrations are associated with clinical outcomes in patients with atherothrombosis.</description><identifier>ISSN: 2047-9980</identifier><identifier>EISSN: 2047-9980</identifier><identifier>DOI: 10.1161/JAHA.114.000785</identifier><identifier>PMID: 25095870</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; atherothrombosis ; Biomarkers ; Carotid Artery Diseases - blood ; Carotid Artery Diseases - diagnostic imaging ; Carotid Intima-Media Thickness ; Case-Control Studies ; Cell Line ; Female ; Follow-Up Studies ; Galectin 3 - blood ; Galectin 3 - drug effects ; Humans ; In Vitro Techniques ; Inflammation ; Macrophages ; Male ; Middle Aged ; Monocytes ; mortality ; NADPH Oxidases - metabolism ; Original Research ; Oxidative Stress ; Peripheral Arterial Disease - blood ; Peripheral Arterial Disease - mortality ; Prognosis ; Tetradecanoylphorbol Acetate - pharmacology</subject><ispartof>Journal of the American Heart Association, 2014-08, Vol.3 (4), p.n/a</ispartof><rights>2014 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.</rights><rights>2014 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4387-e7ee5b07db4cbca758553f3edc5830ab10dbbf84859043ec1ce57c91249367a53</citedby><cites>FETCH-LOGICAL-c4387-e7ee5b07db4cbca758553f3edc5830ab10dbbf84859043ec1ce57c91249367a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310363/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310363/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,11562,27924,27925,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25095870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Madrigal‐Matute, Julio</creatorcontrib><creatorcontrib>Lindholt, Jes Sandal</creatorcontrib><creatorcontrib>Fernandez‐Garcia, Carlos Ernesto</creatorcontrib><creatorcontrib>Benito‐Martin, Alberto</creatorcontrib><creatorcontrib>Burillo, Elena</creatorcontrib><creatorcontrib>Zalba, Guillermo</creatorcontrib><creatorcontrib>Beloqui, Oscar</creatorcontrib><creatorcontrib>Llamas‐Granda, Patricia</creatorcontrib><creatorcontrib>Ortiz, Alberto</creatorcontrib><creatorcontrib>Egido, Jesus</creatorcontrib><creatorcontrib>Blanco‐Colio, Luis Miguel</creatorcontrib><creatorcontrib>Martin‐Ventura, Jose Luis</creatorcontrib><title>Galectin‐3, a Biomarker Linking Oxidative Stress and Inflammation With the Clinical Outcomes of Patients With Atherothrombosis</title><title>Journal of the American Heart Association</title><addtitle>J Am Heart Assoc</addtitle><description>Background Galectin‐3 (Gal‐3) participates in different mechanisms involved in atherothrombosis, such as inflammation, proliferation, or macrophage chemotaxis. Thus, there have been committed intensive efforts to elucidate the function of Gal‐3 in cardiovascular (CV) diseases. The role of Gal‐3 as a circulating biomarker has been demonstrated in patients with heart failure, but its importance as a biomarker in atherothrombosis is still unknown. Methods and Results Because Gal‐3 is involved in monocyte‐to‐macrophage transition, we used fresh isolated monocytes and the in vitro model of macrophage differentiation of THP‐1 cells stimulated with phorbol myristate acetate (PMA). Gal‐3 release is increased by PMA in human monocytes and macrophages, a process involving exosomes and regulated by reactive oxygen species/NADPH oxidase activity. In asymptomatic subjects (n=199), Gal‐3 plasma levels are correlated with NADPH oxidase activity in peripheral blood mononuclear cells (r=0.476; P&lt;0.001) and carotid intima‐media thickness (r=0.438; P&lt;0.001), a surrogate marker of atherosclerosis. Accordingly, Gal‐3 plasma concentrations are increased in patients with carotid atherosclerosis (n=158), compared to control subjects (n=115; 14.3 [10.7 to 16.9] vs. 10.4 [8.6 to 12.5] ng/mL; P&lt;0.001). Finally, on a 5‐year follow‐up study in patients with peripheral artery disease, Gal‐3 concentrations are significantly and independently associated with an increased risk for CV mortality (hazard ratio=2.24, 95% confidence interval: 1.06 to 4.73, P&lt;0.05). Conclusions Gal‐3 extracellular levels could reflect key underlying mechanisms involved in atherosclerosis etiology, development, and plaque rupture, such as inflammation, infiltration of circulating cells and oxidative stress. 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Lindholt, Jes Sandal ; Fernandez‐Garcia, Carlos Ernesto ; Benito‐Martin, Alberto ; Burillo, Elena ; Zalba, Guillermo ; Beloqui, Oscar ; Llamas‐Granda, Patricia ; Ortiz, Alberto ; Egido, Jesus ; Blanco‐Colio, Luis Miguel ; Martin‐Ventura, Jose Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4387-e7ee5b07db4cbca758553f3edc5830ab10dbbf84859043ec1ce57c91249367a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>atherothrombosis</topic><topic>Biomarkers</topic><topic>Carotid Artery Diseases - blood</topic><topic>Carotid Artery Diseases - diagnostic imaging</topic><topic>Carotid Intima-Media Thickness</topic><topic>Case-Control Studies</topic><topic>Cell Line</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Galectin 3 - blood</topic><topic>Galectin 3 - drug effects</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Inflammation</topic><topic>Macrophages</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monocytes</topic><topic>mortality</topic><topic>NADPH Oxidases - metabolism</topic><topic>Original Research</topic><topic>Oxidative Stress</topic><topic>Peripheral Arterial Disease - blood</topic><topic>Peripheral Arterial Disease - mortality</topic><topic>Prognosis</topic><topic>Tetradecanoylphorbol Acetate - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Madrigal‐Matute, Julio</creatorcontrib><creatorcontrib>Lindholt, Jes Sandal</creatorcontrib><creatorcontrib>Fernandez‐Garcia, Carlos Ernesto</creatorcontrib><creatorcontrib>Benito‐Martin, Alberto</creatorcontrib><creatorcontrib>Burillo, Elena</creatorcontrib><creatorcontrib>Zalba, Guillermo</creatorcontrib><creatorcontrib>Beloqui, Oscar</creatorcontrib><creatorcontrib>Llamas‐Granda, Patricia</creatorcontrib><creatorcontrib>Ortiz, Alberto</creatorcontrib><creatorcontrib>Egido, Jesus</creatorcontrib><creatorcontrib>Blanco‐Colio, Luis Miguel</creatorcontrib><creatorcontrib>Martin‐Ventura, Jose Luis</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Heart Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Madrigal‐Matute, Julio</au><au>Lindholt, Jes Sandal</au><au>Fernandez‐Garcia, Carlos Ernesto</au><au>Benito‐Martin, Alberto</au><au>Burillo, Elena</au><au>Zalba, Guillermo</au><au>Beloqui, Oscar</au><au>Llamas‐Granda, Patricia</au><au>Ortiz, Alberto</au><au>Egido, Jesus</au><au>Blanco‐Colio, Luis Miguel</au><au>Martin‐Ventura, Jose Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Galectin‐3, a Biomarker Linking Oxidative Stress and Inflammation With the Clinical Outcomes of Patients With Atherothrombosis</atitle><jtitle>Journal of the American Heart Association</jtitle><addtitle>J Am Heart Assoc</addtitle><date>2014-08-05</date><risdate>2014</risdate><volume>3</volume><issue>4</issue><epage>n/a</epage><issn>2047-9980</issn><eissn>2047-9980</eissn><abstract>Background Galectin‐3 (Gal‐3) participates in different mechanisms involved in atherothrombosis, such as inflammation, proliferation, or macrophage chemotaxis. Thus, there have been committed intensive efforts to elucidate the function of Gal‐3 in cardiovascular (CV) diseases. The role of Gal‐3 as a circulating biomarker has been demonstrated in patients with heart failure, but its importance as a biomarker in atherothrombosis is still unknown. Methods and Results Because Gal‐3 is involved in monocyte‐to‐macrophage transition, we used fresh isolated monocytes and the in vitro model of macrophage differentiation of THP‐1 cells stimulated with phorbol myristate acetate (PMA). Gal‐3 release is increased by PMA in human monocytes and macrophages, a process involving exosomes and regulated by reactive oxygen species/NADPH oxidase activity. In asymptomatic subjects (n=199), Gal‐3 plasma levels are correlated with NADPH oxidase activity in peripheral blood mononuclear cells (r=0.476; P&lt;0.001) and carotid intima‐media thickness (r=0.438; P&lt;0.001), a surrogate marker of atherosclerosis. Accordingly, Gal‐3 plasma concentrations are increased in patients with carotid atherosclerosis (n=158), compared to control subjects (n=115; 14.3 [10.7 to 16.9] vs. 10.4 [8.6 to 12.5] ng/mL; P&lt;0.001). Finally, on a 5‐year follow‐up study in patients with peripheral artery disease, Gal‐3 concentrations are significantly and independently associated with an increased risk for CV mortality (hazard ratio=2.24, 95% confidence interval: 1.06 to 4.73, P&lt;0.05). Conclusions Gal‐3 extracellular levels could reflect key underlying mechanisms involved in atherosclerosis etiology, development, and plaque rupture, such as inflammation, infiltration of circulating cells and oxidative stress. Moreover, circulating Gal‐3 concentrations are associated with clinical outcomes in patients with atherothrombosis.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25095870</pmid><doi>10.1161/JAHA.114.000785</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
atherothrombosis
Biomarkers
Carotid Artery Diseases - blood
Carotid Artery Diseases - diagnostic imaging
Carotid Intima-Media Thickness
Case-Control Studies
Cell Line
Female
Follow-Up Studies
Galectin 3 - blood
Galectin 3 - drug effects
Humans
In Vitro Techniques
Inflammation
Macrophages
Male
Middle Aged
Monocytes
mortality
NADPH Oxidases - metabolism
Original Research
Oxidative Stress
Peripheral Arterial Disease - blood
Peripheral Arterial Disease - mortality
Prognosis
Tetradecanoylphorbol Acetate - pharmacology
title Galectin‐3, a Biomarker Linking Oxidative Stress and Inflammation With the Clinical Outcomes of Patients With Atherothrombosis
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