Kovacevic Zoran, Lazarevic Tatjana, Maksimovic Nela, Grk Milka, Volarevic Vladislav, Gazdic Jankovic Marina, Djukic Svetlana, Janicijevic Katarina, Miletic Kovacevic Marina, Ljujic Biljana
Clinic of Nephrology, University Clinical Center, 34000 Kragujevac, Serbia.
Faculty of Medical Sciences, Department of Internal Medicine, University of Kragujevac, 34000 Kragujevac, Serbia.
J Clin Med. 2022 Jul 4;11(13):3874. doi: 10.3390/jcm11133874.
Galectin 3 plays a significant role in the development of chronic renal failure, particularly end-stage renal disease (ESRD). The aim of our study was to investigate the association between Gal-3 and biochemical parameters and primary disease in ESRD patients, by exploring the polymorphisms rs4644, rs4652, and rs11125. A total of 108 ESRD patients and 38 healthy controls were enrolled in the study. Genotyping of gene rs4644, rs4652, and rs11125 polymorphisms was performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). By multivariate logistic regression analysis, we found that rs4644 CC and rs4652 AA genotypes were significantly associated with a higher risk for lower hemoglobin, higher level of parathyroid hormone, and also occurrence of diabetes mellitus and arterial hypertension. The CAA haplotype was significantly more common in patients with diabetes, low hemoglobin level, and normal PTH level. It has been observed as well that the ACT haplotype was more common in patients with low glomerular filtration, low PTH, and normal hemoglobin level. We found that the rs4644 and rs4652 gene polymorphism may be involved in the pathogenesis and appearance of complications in ESRD patients and thus could be considered a new genetic risk factor in this population.
半乳糖凝集素3在慢性肾衰竭尤其是终末期肾病(ESRD)的发展过程中发挥着重要作用。我们研究的目的是通过探究rs4644、rs4652和rs11125多态性,调查ESRD患者中半乳糖凝集素-3(Gal-3)与生化参数及原发性疾病之间的关联。共有108例ESRD患者和38例健康对照者纳入本研究。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法对rs4644、rs4652和rs11125基因多态性进行基因分型。通过多因素逻辑回归分析,我们发现rs4644 CC和rs4652 AA基因型与较低血红蛋白水平、较高甲状旁腺激素水平以及糖尿病和动脉高血压的发生风险显著相关。CAA单倍型在糖尿病、低血红蛋白水平和正常甲状旁腺激素水平的患者中显著更常见。还观察到ACT单倍型在肾小球滤过率低、甲状旁腺激素水平低和血红蛋白水平正常的患者中更常见。我们发现rs4644和rs4652基因多态性可能参与ESRD患者的发病机制及并发症的出现,因此可被视为该人群中的一种新的遗传危险因素。