Galectin-3—A Multifunctional Molecule and a Key Player in Health and Disease
Abstract
1. Introduction
- Chimera-type group, containing only Galectin-3;
- Prototype group, including Galectin-1, -2, -5, -7, -10, -11, -13, -14, -15, and -16;
- Tandem-repeat group, including Galectin-4, -6, -8, -9, and -12.
2. Methodology and Search Strategy
2.1. Review Design and Reporting Framework
2.2. Review Question and PICO Framework
- Population (P): human subjects or human-derived clinical samples from patients with the predefined disease categories: cardiovascular, metabolic, renal, digestive, gynecological, neurological, neurodegenerative, and ophthalmological disorders;
- Index factor/Exposure (I): assessment of Galectin-3 expression, circulating levels, tissue localization, or disease-related biological activity;
- Comparator (C): healthy controls, disease-free controls, patients with different disease severity, or studies without an explicit comparator but with clinically relevant Galectin-3-associated findings;
- Outcomes (O): diagnostic value, prognostic significance, association with disease severity or progression, mechanistic involvement in inflammation or fibrosis, and potential therapeutic relevance.
2.3. Eligibility Criteria
2.4. Study Selection
2.5. Information Sources and Search Strategy
2.6. Data Extraction
2.7. Data Synthesis
3. An Overview of Galectins in Humans
| Galectin-1 | X | X | X | X | X | X | X | X | X | X | X | [10,16,17] | ||||||
| Galectin-2 | X | X | [14] | |||||||||||||||
| Galectin-3 | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | [13,14,26,27,28,29,30,31] | ||
| Galectin-4 | X | X | X | X | X | X | [14] | |||||||||||
| Galectin-7 | X | X | X | X | X | [14] | ||||||||||||
| Galectin-8 | X | X | X | X | X | [14] | ||||||||||||
| Galectin-9 | X | X | X | [18,19,22] | ||||||||||||||
| Galectin-10 | X | X | [16,17] | |||||||||||||||
| Galectin-12 | X | X | [23,24] | |||||||||||||||
| Galectin-13 | X | [20] | ||||||||||||||||
| Galectin-14 | X | X | [21] | |||||||||||||||
| Galectin-16 | X | [21] | ||||||||||||||||
| Heart Failure | Myocardial Infarction | Renal Disease | MD | Respiratory system | Esophageal | Gastric | Recto-colon | Liver | Pancreas | Thyroid | Skin | Breast | Ovary | Prostate | Placenta | Immunity/Infections | ||
| Cardiovascular Disorders | Kidney Disorders | Metabolic Diseases | Respiratory Disorders | Digestive tract and accessory gland disorders | Endocrine Diseases | Skin Disorders | Reproductive System Disorders | Immune system | ||||||||||
4. Characteristics of Galectin-3
4.1. Structural Domains (CRD, N-Terminal)
4.2. Roles, Activities, and Actions of Galectin-3
- (a)
- (b)
| Physiological Cellular Functions of Galectin-3 | References |
| Cell growth | [29] |
| Cell proliferation | [29,46] |
| Cell apoptosis | [29,47] |
| Cell differentiation | [29] |
| Cell adhesion | [29,48] |
| Tissue repair | [29] |
| Pathological implications of Galectin-3 | References |
| Atherosclerosis | [29,36] |
| Inflammation. ImmunityMetabolism | [17,23,31,49] |
| Organic fibrosis | [25] |
| Cancer | [50] |
- (a)
- As a mediator by stimulating proinflammatory cytokine production;
- (b)
- As a modulator by suppressing immune cell activation [50].
5. Implications of Galectin-3 in Various Diseases
5.1. Galectin-3 in Cardiovascular Diseases
5.1.1. Atherosclerosis
5.1.2. Heart Failure (HF)
5.1.3. Atrial Fibrillation
5.2. Galectin-3 in Cancer
5.3. Galectin-3 in METABOLIC Diseases
5.4. Galectin-3 in Gastric Diseases
5.5. Galectin-3 in Liver Diseases
5.6. Galectin in Respiratory Diseases
5.7. Galectin-3 in Kidney Diseases
5.8. Galectin-3 in Endometriosis
5.9. Galectin-3 in Neuroinflammation and Neurodegenerative Diseases
5.10. Galectin-3 in Ophthalmological Conditions
6. Future Research Directions
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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| Disease Category | PubMed Search String | n |
|---|---|---|
| General search | (“Galectin-3”[Title/Abstract]) | 2436 |
| Cardiovascular diseases | (“Galectin-3”[Title/Abstract]) AND (“cardiovascular diseases”[Title/Abstract]) | 51 |
| Renal/kidney diseases | (“Galectin-3”[Title/Abstract]) AND (“renal diseases”[Title/Abstract] OR “kidney diseases”[Title/Abstract]) | 15 |
| Metabolic disorders | (“Galectin-3”[Title/Abstract]) AND (“metabolic disorders”[Title/Abstract] OR “metabolic syndrome”[Title/Abstract]) | 34 |
| Cancer/tumor/malignancy | (“Galectin-3”[Title/Abstract]) AND (“cancer”[Title/Abstract] OR “tumor”[Title/Abstract] OR “malignancy”[Title/Abstract]) | 579 |
| Endometriosis | (“Galectin-3”[Title/Abstract]) AND (“endometriosis”[Title/Abstract]) | 7 |
| Hepatic/liver diseases | (“Galectin-3”[Title/Abstract]) AND (“hepatic diseases”[Title/Abstract] OR “liver diseases”[Title/Abstract]) | 21 |
| Respiratory/pulmonary diseases | (“Galectin-3”[Title/Abstract]) AND (“respiratory diseases”[Title/Abstract] OR “pulmonary”[Title/Abstract]) | 127 |
| Neuroinflammation/neurodegenerative diseases | (“Galectin-3”[Title/Abstract]) AND (“neuroinflammation”[Title/Abstract] OR “neurodegenerative diseases”[Title/Abstract]) | 108 |
| Ophthalmological/eye diseases | (“Galectin-3”[Title/Abstract]) AND (“ophthalmological”[Title/Abstract] OR “eye diseases”[Title/Abstract]) | 3 |
| Disease Category | MDPI Search String | n |
|---|---|---|
| General search | Galectin-3 | 769 |
| Cardiovascular diseases | Galectin-3 AND cardiovascular diseases | 61 |
| Renal/kidney diseases | Galectin-3 AND renal diseases OR kidney diseases | 21 |
| Metabolic disorders | Galectin-3 AND metabolic disorders OR metabolic syndrome | 11 |
| Cancer/tumor/malignancy | Galectin-3 AND cancer OR tumor OR malignancy | 769 |
| Endometriosis | Galectin-3 AND endometriosis | 7 |
| Hepatic/liver diseases | Galectin-3 AND hepatic diseases OR liver diseases | 9 |
| Respiratory/pulmonary diseases | Galectin-3 AND respiratory diseases OR pulmonary | 18 |
| Neuroinflammation/neurodegenerative diseases | Galectin-3 AND neuroinflammation OR neurodegenerative diseases | 301 |
| Disease Category | Google Scholar Search String | n |
|---|---|---|
| General search | “Galectin-3” | 21,900 |
| Cardiovascular diseases | “Galectin-3” AND “cardiovascular diseases” | 7160 |
| Renal/kidney diseases | “Galectin-3” AND (“renal diseases” OR “kidney diseases”) | 2030 |
| Metabolic disorders | “Galectin-3” AND (“metabolic disorders” OR “metabolic syndrome”) | 5440 |
| Cancer/tumor/malignancy | “Galectin-3” AND (“cancer” OR “tumor” OR “malignancy”) | 15,600 |
| Endometriosis | “Galectin-3” AND “endometriosis” | 590 |
| Hepatic/liver diseases | “Galectin-3” AND (“hepatic diseases” OR “liver diseases”) | 2050 |
| Respiratory/pulmonary diseases | “Galectin-3” AND (“respiratory diseases” OR “pulmonary”) | 1600 |
| Neuroinflammation/neurodegenerative diseases | “Galectin-3” AND (“neuroinflammation” OR “neurodegenerative diseases”) | 6100 |
| Ophthalmological/eye diseases | “Galectin-3” AND (“ophthalmological” OR “eye diseases”) | 396 |
| Target Disease Context | Main Inhibitors or Modulators Developed | Main Results, and Safety or Considerations | References |
|---|---|---|---|
| Liver fibrosis | GB1107 synthetic inhibitor | Studies Signaling of liver damage—experimental approach to induced liver fibrosis in mice; GB 1107 reduced liver fibrosis—may be a therapeutic target | [142] |
| Angioneurotic sclerosis Cancer | Common pathways regulated by Gal-3 | Studies Atherosclerosis: migration and proliferation, proinflammatory factor and endothelial damage Cancer: proliferation, invasion, metastasis | [143] |
| Bladder tumor | MCP Gal-3 antagonist | Studies Inhibited bladder tumor growth through downregulation of Galectin-3. | [144] |
| Antitumor activity in vivo and in vitro | GCS-100 (MCP) | Binding and antagonizing Galectin-2 | [15,145] |
| Inhibit Galectin-3 in Cancer progression | Ph—MCP | MCP-N and degraded products—potential inhibitors for Galectin-3 | [15,146] |
| Potential use applications for the development of functional foods or medicines | Rhamnogalacturonan-I containing pectic polyzaccharide | Isolated from pumpkin Potential developed for Galectin-3 inhibitor. Moderate binding affinity. | [15,147] |
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Lupu, A.; Negreanu-Pirjol, T.; Olariu, L.; Negreanu-Pirjol, B.-S.; Jurja, S.; Lepadatu, A.C.; Basa, M.; Rosoiu, N. Galectin-3—A Multifunctional Molecule and a Key Player in Health and Disease. Molecules 2026, 31, 1694. https://doi.org/10.3390/molecules31101694
Lupu A, Negreanu-Pirjol T, Olariu L, Negreanu-Pirjol B-S, Jurja S, Lepadatu AC, Basa M, Rosoiu N. Galectin-3—A Multifunctional Molecule and a Key Player in Health and Disease. Molecules. 2026; 31(10):1694. https://doi.org/10.3390/molecules31101694
Chicago/Turabian StyleLupu (Surlea), Alina, Ticuta Negreanu-Pirjol, Laura Olariu, Bogdan-Stefan Negreanu-Pirjol, Sanda Jurja, Anca Cristina Lepadatu, Mihaela Basa, and Natalia Rosoiu. 2026. "Galectin-3—A Multifunctional Molecule and a Key Player in Health and Disease" Molecules 31, no. 10: 1694. https://doi.org/10.3390/molecules31101694
APA StyleLupu, A., Negreanu-Pirjol, T., Olariu, L., Negreanu-Pirjol, B.-S., Jurja, S., Lepadatu, A. C., Basa, M., & Rosoiu, N. (2026). Galectin-3—A Multifunctional Molecule and a Key Player in Health and Disease. Molecules, 31(10), 1694. https://doi.org/10.3390/molecules31101694

