High-grade
gliomas (HGG) are the most common and most aggressive intrinsic human
brain tumors in adults.
Galectin-1, a
glycan-
binding protein that is overexpressed in HGG, has been shown to contribute significantly to the aggressive nature of HGG. It is unknown whether increased
galectin-1 expression levels are exclusively found at the
tumor site or whether
galectin-1 can also be detected in the serum of HGG patients.
Galectin-1 serum levels were analyzed in a prospective dataset of 43 healthy controls and 125 patients with newly diagnosed or recurrent HGG. Samples were taken at the moment of surgical resection and/or 2-3 weeks after surgery.
Galectin-1 serum levels were determined using an ELISA for
galectin-1.
Galectin-1 serum levels depended significantly on age and sex in the control group. Age- and sex-adjusted
galectin-1 serum levels were significantly higher in all patient subgroups compared to healthy controls with a high discriminative ability that increased with age. We did not observe a significant decrease in the
galectin-1 serum levels upon surgical resection of the
tumor. Collectively, the data presented here may represent a first step to establish
galectin-1 as a
biomarker in HGG disease monitoring. Further longitudinal evaluation is required and ongoing to investigate the value of
galectin-1 serum levels in HGG patients as an additional diagnostic marker, but more importantly as a predictor of treatment response and prognosis. Furthermore,
galectin-1 serum levels could also provide an important tool for the identification of HGG patients that could benefit from
galectin-1 directed
therapies that are currently under development.