Cai Yaoyao, Sun Zhen, Shao Chen, Wang Zhongqun, Li Lihua
Department of Cardiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Department of Pathology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Glycoconj J. 2023 Apr;40(2):149-158. doi: 10.1007/s10719-023-10106-x. Epub 2023 Feb 20.
Vascular calcification is an abnormal process in which bone specific hydroxyapatite crystals are actively deposited on the vascular wall mediated by phenotypic differentiated smooth muscle cells and other mesenchymal cells under various pathological conditions. It is one of the important characteristics in the occurrence and development of atherosclerosis, prevalent in patients with type 2 diabetes and advanced chronic kidney disease, especially those requiring maintenance hemodialysis, with severely threatening human health. Previous studies have shown that the early diagnosis and control of vascular calcification is of great significance for cardiovascular risk stratification, prevention of acute cardiovascular events, which can greatly improve the prognosis and quality of life of patients. Galectins are a family of lectin superfamily. It is widely distributed in various animals and plays an important role in many physiological and pathological processes, such as cell adhesion, apoptosis, inflammatory response, tumor metastasis and so on. Many biomarker-and association-related studies and Preclinical-mechanistic studies have suggested that galactose-specific lectin-3 (galectin-3) plays an important role in vascular calcification and vascular intimal calcification (VIC) calcification induced by Wnt/βcatenin signaling pathway, NF-κB signaling pathway and ERK1/2 signaling pathway. This paper mainly expounds the role and mechanism of galectin-3 in vascular calcification under different pathological conditions including atherosclerosis, diabetes and chronic kidney disease.
血管钙化是一种异常过程,在各种病理条件下,骨特异性羟基磷灰石晶体由表型分化的平滑肌细胞和其他间充质细胞介导,主动沉积在血管壁上。它是动脉粥样硬化发生发展的重要特征之一,在2型糖尿病和晚期慢性肾脏病患者中普遍存在,尤其是那些需要维持性血液透析的患者,严重威胁人类健康。先前的研究表明,血管钙化的早期诊断和控制对于心血管风险分层、预防急性心血管事件具有重要意义,这可以极大地改善患者的预后和生活质量。半乳糖凝集素是凝集素超家族的一个家族。它广泛分布于各种动物中,在许多生理和病理过程中发挥重要作用,如细胞粘附、凋亡、炎症反应、肿瘤转移等。许多生物标志物和关联相关研究以及临床前机制研究表明,半乳糖特异性凝集素-3(galectin-3)在由Wnt/β连环蛋白信号通路、NF-κB信号通路和ERK1/2信号通路诱导的血管钙化和血管内膜钙化(VIC)中起重要作用。本文主要阐述了galectin-3在动脉粥样硬化、糖尿病和慢性肾脏病等不同病理条件下血管钙化中的作用及机制。