Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk

Background: The clinical utility of galectin-3 and fibroblast growth factor 23 (FGF-23) needs to be further explored since previous studies show divergent results in relation to type 2 diabetes (T2D) and cardiovascular risk. Hence, the aim of this research was to explore galectin-3 and FGF-23 in rel...

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Main Authors: Klisic Aleksandra, Gluscevic Sanja, Karakasis Paschalis, Kotur-Stevuljevic Jelena, Ninic Ana
Format: Article
Language:English
Published: Society of Medical Biochemists of Serbia, Belgrade 2025-01-01
Series:Journal of Medical Biochemistry
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Online Access:https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582501085K.pdf
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author Klisic Aleksandra
Gluscevic Sanja
Karakasis Paschalis
Kotur-Stevuljevic Jelena
Ninic Ana
author_facet Klisic Aleksandra
Gluscevic Sanja
Karakasis Paschalis
Kotur-Stevuljevic Jelena
Ninic Ana
author_sort Klisic Aleksandra
collection DOAJ
description Background: The clinical utility of galectin-3 and fibroblast growth factor 23 (FGF-23) needs to be further explored since previous studies show divergent results in relation to type 2 diabetes (T2D) and cardiovascular risk. Hence, the aim of this research was to explore galectin-3 and FGF-23 in relation to T2D, as well as to examine the potential association of these biomarkers with atherosclerotic cardiovascular disease (ASCVD) risk score in Montenegrin adults. Methods: A total of 35 T2D patients and 36 controls were consecutively enrolled. Serum galectin-3 and FGF-23 were determined by ELISA. The ASCVD risk score was calculated. Results: Higher serum galectin-3 levels were shown in T2D patients (p=0.016) in comparison with the control group. The increase in galectin-3 levels for 1 ng/mL showed an 8.5% higher probability of T2D occurrence (OR=1.085, p=0.015). FGF-23 levels did not differ between the control and the T2D group. Serum galectin-3 correlated with FGF23 (r=0.390, p=0.001). Both galectin-3 (r=0.306, p=0.010) and FGF-23 (r=0.332, p=0.005) correlated with ASCVD risk score in bivariate Spearman's correlation analysis, but these correlations were not retained in binary logistic regression analysis. Conclusions: Serum galectin-3 levels but not FGF-23 are higher in T2D patients. Serum galectin-3 correlated with FGF-23. Although both biomarkers were correlated with the ASCVD risk score, further statistical analysis did not confirm their independent associations with cardiovascular risk. Studies with a large sample size are needed to further explore this issue.
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spelling doaj-art-f3633c2c26d24f0ea3aa7030144f91482025-02-05T13:11:23ZengSociety of Medical Biochemists of Serbia, BelgradeJournal of Medical Biochemistry1452-82581452-82662025-01-01441859210.5937/jomb0-504711452-82582501085KSerum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular riskKlisic Aleksandra0https://orcid.org/0000-0001-7870-0996Gluscevic Sanja1Karakasis Paschalis2Kotur-Stevuljevic Jelena3https://orcid.org/0000-0002-6980-3069Ninic Ana4https://orcid.org/0000-0003-3838-1606University of Montenegro-Faculty of Medicine, Podgorica, MontenegroClinical Center of Montenegro, Department of Neurology, Podgorica, MontenegroAristotle University of Thessaloniki, General Hospital "Hippokration", Second Department of Cardiology, Thessaloniki, GreeceUniversity of Belgrade, Faculty of Pharmacy, Department for Medical Biochemistry, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department for Medical Biochemistry, Belgrade, SerbiaBackground: The clinical utility of galectin-3 and fibroblast growth factor 23 (FGF-23) needs to be further explored since previous studies show divergent results in relation to type 2 diabetes (T2D) and cardiovascular risk. Hence, the aim of this research was to explore galectin-3 and FGF-23 in relation to T2D, as well as to examine the potential association of these biomarkers with atherosclerotic cardiovascular disease (ASCVD) risk score in Montenegrin adults. Methods: A total of 35 T2D patients and 36 controls were consecutively enrolled. Serum galectin-3 and FGF-23 were determined by ELISA. The ASCVD risk score was calculated. Results: Higher serum galectin-3 levels were shown in T2D patients (p=0.016) in comparison with the control group. The increase in galectin-3 levels for 1 ng/mL showed an 8.5% higher probability of T2D occurrence (OR=1.085, p=0.015). FGF-23 levels did not differ between the control and the T2D group. Serum galectin-3 correlated with FGF23 (r=0.390, p=0.001). Both galectin-3 (r=0.306, p=0.010) and FGF-23 (r=0.332, p=0.005) correlated with ASCVD risk score in bivariate Spearman's correlation analysis, but these correlations were not retained in binary logistic regression analysis. Conclusions: Serum galectin-3 levels but not FGF-23 are higher in T2D patients. Serum galectin-3 correlated with FGF-23. Although both biomarkers were correlated with the ASCVD risk score, further statistical analysis did not confirm their independent associations with cardiovascular risk. Studies with a large sample size are needed to further explore this issue.https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582501085K.pdfdiabetesinflammationinsulin resistancebiomarkers
spellingShingle Klisic Aleksandra
Gluscevic Sanja
Karakasis Paschalis
Kotur-Stevuljevic Jelena
Ninic Ana
Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
Journal of Medical Biochemistry
diabetes
inflammation
insulin resistance
biomarkers
title Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
title_full Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
title_fullStr Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
title_full_unstemmed Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
title_short Serum galectin-3 and fibroblast growth factor-23 levels in relation with type 2 diabetes and cardiovascular risk
title_sort serum galectin 3 and fibroblast growth factor 23 levels in relation with type 2 diabetes and cardiovascular risk
topic diabetes
inflammation
insulin resistance
biomarkers
url https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582501085K.pdf
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