Hyperinflammation and Fibrosis in Severe COVID-19 Patients: Galectin-3, a Target Molecule to Consider

Front Immunol. 2020 Aug 18:11:2069. doi: 10.3389/fimmu.2020.02069. eCollection 2020.

Abstract

COVID-19 disease have become so far the most important sanitary crisis in the XXI century. In light of the events, any clinical resource should be considered to alleviate this crisis. Severe COVID-19 cases present a so-called cytokine storm as the most life-threatening symptom accompanied by lung fibrosis. Galectin-3 has been widely described as regulator of both processes. Hereby, we present compelling evidences on the potential role of galectin-3 in COVID-19 in the regulation of the inflammatory response, fibrosis and infection progression. Moreover, we provide a strong rationale of the utility of measuring plasma galectin-3 as a prognosis biomarker for COVID-19 patients and propose that inhibition of galectin-3 represents a feasible and promising new therapeutical approach.

Keywords: COVID-19; biomarker; cytokine storm; fibrosis; galectin-3.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin-Converting Enzyme 2
  • Animals
  • Betacoronavirus / chemistry
  • Betacoronavirus / immunology*
  • Biomarkers / blood
  • Blood Proteins
  • COVID-19
  • Coronavirus Infections / drug therapy*
  • Coronavirus Infections / immunology
  • Coronavirus Infections / virology
  • Cytokines / antagonists & inhibitors
  • Cytokines / metabolism
  • Disease Progression
  • Galectin 3 / antagonists & inhibitors*
  • Galectin 3 / blood*
  • Galectins
  • Host-Pathogen Interactions / immunology
  • Humans
  • Inflammation / drug therapy
  • Inflammation / immunology
  • Molecular Targeted Therapy / methods*
  • Pandemics
  • Peptidyl-Dipeptidase A / metabolism
  • Pneumonia, Viral / drug therapy*
  • Pneumonia, Viral / immunology
  • Pneumonia, Viral / virology
  • Prognosis
  • Pulmonary Fibrosis / drug therapy*
  • Pulmonary Fibrosis / immunology
  • SARS-CoV-2
  • Severity of Illness Index*
  • Spike Glycoprotein, Coronavirus / metabolism

Substances

  • Biomarkers
  • Blood Proteins
  • Cytokines
  • Galectin 3
  • Galectins
  • LGALS3 protein, human
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2
  • Peptidyl-Dipeptidase A
  • ACE2 protein, human
  • Angiotensin-Converting Enzyme 2