PLASMA GALECTIN-9 AS A BIOMARKER OF MESANGIAL EXPANSION AND OUTCOMES IN BIOPSY-PROVEN KIDNEY DISEASE

 

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https://storage.unitedwebnetwork.com/files/1099/71126fe943f51ae2e436ce99deeddbe7.pdf
PLASMA GALECTIN-9 AS A BIOMARKER OF MESANGIAL EXPANSION AND OUTCOMES IN BIOPSY-PROVEN KIDNEY DISEASE

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Ming-Tsun
Tsai
Ming-Tsun Tsai mingtsun74@gmail.com Taipei Veterans General Hospital Division of Nephrology, Department of Medicine Taipei Taiwan *
Szu-Yuan Li taiwan0113@gmail.com Taipei Veterans General Hospital Division of Nephrology, Department of Medicine Taipei Taiwan -
Tz-Heng Chen s19401021@gmail.com Taipei Veterans General Hospital Division of Nephrology, Department of Medicine Taipei Taiwan -
Shuo-Ming Ou okokyytt@gmail.com Taipei Veterans General Hospital Division of Nephrology, Department of Medicine Taipei Taiwan -
 
 
 
 
 
 
 
 
 
 
 

Galectin-9 (Gal-9) is a potential biomarker for renal disease; however, its role in chronic kidney disease (CKD) progression remains underexplored. In this study, we investigated the association between plasma Gal-9 levels and kidney histopathology, as well as its prognostic value for major adverse renal events (MARE) in patients with biopsy-proven kidney disease.

A prospective cohort study was conducted involving 366 individuals who underwent renal biopsy at a tertiary medical center between October 1, 2018, and March 31, 2023. Plasma Gal-9 levels were measured, and renal chronicity was evaluated using the modified Mayo Clinic Chronicity Score (MCCS). Logistic and Cox regression analyses were performed to assess the associations of Gal-9 with individual histopathologic lesions and MARE, defined as a ≥40% decline in eGFR, initiation of dialysis, or death from renal or cardiovascular causes.

Elevated plasma Gal-9 levels were significantly correlated with higher MCCS and proteinuria, and with lower eGFR. High Gal-9 levels were associated with multiple chronic lesions but remained independently associated only with mesangial expansion after multivariable adjustment. The median follow-up duration was 1.8 years, during which 133 of the 366 patients experienced MARE. Cox regression analysis showed that plasma Gal-9 was independently associated with these events, with an adjusted hazard ratio of 2.36 (95% CI: 1.25–4.44) for tertile 3 versus tertile 1.

In summary, elevated plasma Gal-9 levels are associated with mesangial expansion and may predict adverse kidney outcomes in patients with CKD of various etiologies.

Kewords