1st Chair and Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097, Warsaw, Poland.
J Mol Med (Berl). 2023 Dec;101(12):1481-1492. doi: 10.1007/s00109-023-02378-5. Epub 2023 Sep 29.
Numerous risk factors for atrial fibrillation (AF) progression have been identified. However, the biomarkers mentioned in the guidelines do not have any clinically relevant predictive value. Some research groups investigated the potential utility of galectin-3 (gal-3) as a diagnostic, prognostic, and predictive biomarker in AF. In this review, we have thoroughly summarized the current data on the role of gal-3 in AF based on the original research in this field. Patients suffering from AF present with increased levels of gal-3. The concentration of gal-3 differs between patients with AF depending on the type of AF - it is higher in patients with persistent AF than in patients with paroxysmal AF. Multiple studies investigating the reappearance of AF in patients who underwent ablation have shown that gal-3 is a promising biomarker to predict the outcome of this therapy. Patients with increased levels of gal-3 are at higher risk of AF recurrence. Although the research considered in this work addressed many aspects of the role of gal-3 in AF, most of it has been conducted on a small group of patients. Therefore, further research and extensive clinical trials confirming described findings are highly warranted.
已经确定了许多心房颤动 (AF) 进展的风险因素。然而,指南中提到的生物标志物没有任何临床相关的预测价值。一些研究小组研究了半乳糖凝集素-3 (gal-3) 作为 AF 诊断、预后和预测生物标志物的潜在效用。在这篇综述中,我们根据该领域的原始研究,全面总结了 gal-3 在 AF 中的作用的现有数据。患有 AF 的患者表现出 gal-3 水平升高。AF 患者的 gal-3 浓度因 AF 类型而异——持续性 AF 患者的浓度高于阵发性 AF 患者。多项研究调查了消融术后 AF 再次发生的患者,表明 gal-3 是预测这种治疗效果的有前途的生物标志物。gal-3 水平升高的患者发生 AF 复发的风险更高。尽管这项工作中考虑的研究涉及 gal-3 在 AF 中的作用的许多方面,但大多数研究都是在一小部分患者中进行的。因此,非常需要进一步的研究和广泛的临床试验来证实这些发现。