Background:
Galectin-3 is implicated in the pathogenesis of
inflammation and atherosclerosis. Peripheral arterial disease (PAD),
characterized by a reduced ankle-brachial index (ABI), is a prognostic marker for
mortality in patients on hemodialysis. We investigated the relationship between
serum galectin-3 levels and PAD in patients undergoing regular hemodialysis.
Methods:
We carried out a cross-sectional study at a medical center,
involving 92 participants. Serum galectin-3 levels were assessed by a
commercially available enzyme-linked immunosorbent assay. ABI measurement was
done with an automatic device based on oscillometry. Participants were
categorized into two groups, normal and low ABI, based on a 0.9 cut-off point.
Results:
Eighteen patients (19.6%) exhibited a low ABI. In individuals
with low ABIs, we observed a greater prevalence of diabetes mellitus, elevated
serum C-reactive protein (CRP) levels, increased galectin-3 levels, and lower
serum creatinine levels. Furthermore, serum galectin-3 levels (odds ratio [OR]:
1.056, 95% confidence interval [CI]: 1.003–1.112,
p
= 0.037) and CRP
(per 0.1 mg/dL increment, OR: 1.195, 95% CI: 1.032–1.383,
p
= 0.017)
were identified as independent predictors of PAD. Serum galectin-3 and
log-transformed CRP levels were also independently and significantly negatively
correlated with the left and right ABI values.
Conclusions:
Serum
galectin-3 levels correlate with PAD in patients undergoing maintenance
hemodialysis.