Hao Wen-Rui, Cheng Chun-Han, Liu Ju-Chi, Chen Huan-Yuan, Chen Jin-Jer, Cheng Tzu-Hurng
Division of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Ministry of Health and Welfare, Taipei Medical University, New Taipei City 23561, Taiwan.
Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei City 11002, Taiwan.
Life (Basel). 2024 Jul 20;14(7):906. doi: 10.3390/life14070906.
Diastolic dysfunction, a prevalent condition characterized by impaired relaxation and filling of the left ventricle, significantly contributes to heart failure with preserved ejection fraction (HFpEF). Galectin-3, a β-galactoside-binding lectin, has garnered attention as a potential biomarker and mediator of fibrosis and inflammation in cardiovascular diseases. This comprehensive review investigates the impact of galectin-3 on diastolic dysfunction. We explore its molecular mechanisms, including its involvement in cellular signaling pathways and interaction with components of the extracellular matrix. Evidence from both animal models and clinical studies elucidates galectin-3's role in cardiac remodeling, inflammation, and fibrosis, shedding light on the underlying pathophysiology of diastolic dysfunction. Additionally, we examine the diagnostic and therapeutic implications of galectin-3 in diastolic dysfunction, emphasizing its potential as both a biomarker and a therapeutic target. This review underscores the significance of comprehending galectin-3's role in diastolic dysfunction and its promise in enhancing diagnosis and treatment approaches for HFpEF patients.
舒张功能障碍是一种以左心室舒张和充盈受损为特征的常见病症,对射血分数保留的心力衰竭(HFpEF)有显著影响。半乳糖凝集素-3是一种β-半乳糖苷结合凝集素,作为心血管疾病中纤维化和炎症的潜在生物标志物和介质已受到关注。这篇综述全面研究了半乳糖凝集素-3对舒张功能障碍的影响。我们探讨其分子机制,包括其参与细胞信号通路以及与细胞外基质成分的相互作用。动物模型和临床研究的证据阐明了半乳糖凝集素-3在心脏重塑、炎症和纤维化中的作用,揭示了舒张功能障碍的潜在病理生理学。此外,我们研究了半乳糖凝集素-3在舒张功能障碍中的诊断和治疗意义,强调其作为生物标志物和治疗靶点的潜力。这篇综述强调了理解半乳糖凝集素-3在舒张功能障碍中的作用及其在改善HFpEF患者诊断和治疗方法方面前景的重要性。