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Res Pract Thromb Haemost. 2017 Oct;1(2):223-230. doi: 10.1002/rth2.12038. Epub 2017 Sep 04.

Galectin-3 and Venous Thromboembolism Incidence: the Atherosclerosis Risk in Communities (ARIC) Study.

Research and practice in thrombosis and haemostasis

Oluwaseun E Fashanu, Susan R Heckbert, David Aguilar, Paul N Jensen, Christie M Ballantyne, Saonli Basu, Ron C Hoogeveen, Christopher deFilippi, Mary Cushman, Aaron R Folsom

Affiliations

  1. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  2. Cardiovascular Health Research Unit and Department of Epidemiology, University of Washington, Seattle, WA, USA.
  3. Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
  4. Cardiovascular Health Research Unit and Department of Medicine, University of Washington, Seattle, WA, USA.
  5. Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  6. Academic Affairs, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
  7. Division of Hematology/Oncology, Department of Medicine, Larner College of Medicine at the University of Vermont, Burlington, USA.

PMID: 29152608 PMCID: PMC5685543 DOI: 10.1002/rth2.12038

Abstract

BACKGROUND: The inflammatory biomarker galectin-3 contributes to pathologic conditions such as heart failure and stimulates murine thrombogenesis. Its association with venous thromboembolism (VTE) has been sparsely studied.

OBJECTIVES: To assess the prospective association of plasma galectin-3 and the

METHODS: We measured plasma galectin-3 in 9,916 participants in the Atherosclerosis Risk in Communities (ARIC) study cohort in 1996 - 1998 and identified VTEs through 2013. Using Cox regression, we estimated the hazard ratio associating galectin-3 with incident VTE over a median of 13.9 years. Replication was sought in the Cardiovascular Health Study (CHS).

RESULTS: ARIC included 21.8% blacks and 56.2% females with mean baseline age of 62.7 years. The incidence rate of VTE (n=389 events) increased across quintiles of galectin-3, with hazard ratios (95% CI) of 1 (reference), 1.13 (0.80 - 1.61), 1.00 (0.70 - 1.43), 1.36 (0.96 - 1.91), and 1.55 (1.09 - 2.19) (p-trend = 0.005), adjusted for age, sex, race, body mass index, diabetes status, and renal function. Results did not replicate in the CHS (124 VTE), but meta-analysis of both studies yielded a pooled hazard ratio (95% CI) for 1 SD increment in log galectin-3 of 1.10 (1.00 - 1.22). In ARIC, the C allele of rs4644 in the

CONCLUSION: Galectin-3 levels were associated positively with VTE incidence.

Keywords: Galectin-3; Gene; Prospective; Thrombosis; Venous thromboembolism

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