Evidence map›Paper›PMID 36332898›Full record

ArticleJournal of cardiac failure2023

Galectin-3, Acute Kidney Injury and Myocardial Damage in Patients With Acute Heart Failure.

Y U Horiuchi, Nicholas Wettersten, Dirk J VAN Veldhuisen, Christian Mueller, Gerasimos Filippatos, Richard Nowak, Christopher Hogan, Michael C Kontos, Chad M Cannon, Gerhard A Müeller and 11 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiac failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Advances in biomarkers for myocardial injury after non-cardiac surgery.Journal of anesthesia and translational medicine · 2026
    Review
  3. Spatial N-glycan rearrangement on αNature communications · 2025
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  14. Association of suPAR, ST2, and galectin-3 with eGFR decline and mortality in patients with advanced heart failure with reduced ejection fraction.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2024
    Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 14 institutions in 9 countries.

Y U HoriuchiDivision of Cardiovascular Medicine, University of California San Diego, La Jolla, CA, USA; Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
Nicholas WetterstenDivision of Cardiovascular Medicine, University of California San Diego, La Jolla, CA, USA; Division of Cardiovascular Medicine, San Diego Veterans Affairs Medical Center, San Diego, CA.
Dirk J VAN VeldhuisenDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Christian MuellerCardiovascular Research Institute Basel, Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland.
Gerasimos FilippatosDepartment of Cardiology, Athens University Hospital Attikon, University of Athens, Athens, Greece.
Richard NowakDepartment of Emergency Medicine, Henry Ford Hospital System, Detroit, MI, USA.
Christopher HoganDivision of Emergency Medicine and Acute Care Surgical Services, VCU Medical Center, Virginia Commonwealth University, Richmond, VA, USA.
Michael C KontosDivision of Cardiology, VCU Medical Center, Virginia Commonwealth University, Richmond, VA, USA.
Chad M CannonDepartment of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Gerhard A MüellerDepartment of Nephrology and Rheumatology, University Medical Centre Göttingen, University of Göttingen, Göttingen, Germany.
Robert BirkhahnDepartment of Emergency Medicine, New York Methodist Hospital, New York, NY, USA.
Pam TaubDivision of Cardiovascular Medicine, University of California San Diego, La Jolla, CA, USA.
Gary M VilkeDepartment of Emergency Medicine, University of California San Diego, La Jolla, CA, USA.
Kenneth McDonaldDepartment of Cardiology, School of Medicine, University College Dublin, Dublin, Ireland; Department of Cardiology, St Vincent's University Hospital, Dublin, Ireland.
Niall MahonDepartment of Cardiology, School of Medicine, University College Dublin, Dublin, Ireland; Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Julio NuñezDepartment of Cardiology, Hospital Clínico Universitario, INCLIVA, Valencia, Spain; Centro de Investigación Biomédica en Red (CIBER) in Cardiovascular Diseases, Madrid, Spain.
Carlo BriguoriDepartment of Cardiology, Mediterranea Cardiocentro, Naples, Italy.
Claudio PassinoDepartment of Cardiology and Cardiovascular Medicine, Fondazione Gabriele Monasterio, Pisa, Italy.
Stephen DuffDepartment of Medicine, School of Medicine, University College Dublin, Dublin, Ireland.
Alan MaiselDivision of Cardiovascular Medicine, University of California San Diego, La Jolla, CA, USA.
Patrick T MurrayDepartment of Medicine, School of Medicine, University College Dublin, Dublin, Ireland. Electronic address: patrick.murray@ucd.ie.
University College Dublin · IEUniversity of California San Diego · USVirginia Commonwealth University Medical Center · USClinica Mediterranea · ITFondazione Toscana Gabriele Monasterio · ITHenry Ford Hospital · USHospital Clínico Universitario de Valencia · ESNational and Kapodistrian University of Athens · GRNewYork–Presbyterian Brooklyn Methodist Hospital · USSan Francisco VA Medical Center · USUniversity Medical Center Groningen · NLUniversity of Basel · CHUniversity of Göttingen · DEUniversity of Kansas Medical Center · US

Funding

Discriminating Causes of Creatinine Change in Acute Heart FailureIK2CX002105 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI Nicholas Wettersten · 2021 to 2026
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CSRD VA IK2 CX002105
6 · The paper itself

Abstract

backgroundGalectin-3, a biomarker of inflammation and fibrosis, can be associated with renal and myocardial damage and dysfunction in patients with acute heart failure (AHF). METHODS AND

resultsWe retrospectively analyzed 790 patients with AHF who were enrolled in the AKINESIS study. During hospitalization, patients with galectin-3 elevation (> 25.9 ng/mL) on admission more commonly had acute kidney injury (assessed by KDIGO criteria), renal tubular damage (peak urine neutrophil gelatinase-associated lipocalin [uNGAL] > 150 ng/dL) and myocardial injury (≥ 20% increase in the peak high-sensitivity cardiac troponin I [hs-cTnI] values compared to admission). They less commonly had ≥ 30% reduction in B-type natriuretic peptide from admission to last measured value. In multivariable linear regression analysis, galectin-3 was negatively associated with estimated glomerular filtration rate and positively associated with uNGAL and hs-cTnI. Higher galectin-3 was associated with renal replacement therapy, inotrope use and mortality during hospitalization. In univariable Cox regression analysis, higher galectin-3 was associated with increased risk for the composite of death or rehospitalization due to HF and death alone at 1 year. After multivariable adjustment, higher galectin-3 levels were associated only with death.

conclusionsIn patients with AHF, higher galectin-3 values were associated with renal dysfunction, renal tubular damage and myocardial injury, and they predicted worse outcomes.

Indexed as

Acute Kidney InjuryCardiomyopathiesGalectin 3Heart FailureAcute DiseaseBiomarkersHumansKidneyLipocalin-2Natriuretic Peptide, BrainPrognosisRetrospective StudiesTroponin IBiomarkersGalectin 3LCN2 protein, humanLipocalin-2Natriuretic Peptide, BrainTroponin Iacute heart failureacute kidney injurygalectin-3myocardial injuryprognosisrenal tubular damage

Identifiers

PMID36332898
PMCPMC11427130
OpenAlexW4308039943

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.