Galectins constitute a family of 15 mammalian galactoside-binding proteins that share a consensus amino acid sequence in their carbohydrate binding sites. They are multi-functional molecules and are expressed widely in human tissues. Four galectins: galectin 21, 23, 24 and 28 are expressed in the human colon and rectum and their expressions show significant changes during colorectal cancer development and metastasis. These changes in galectin expression correlate with alterations in cancer cell growth, apoptosis, cell-cell and cell-matrix interactions and angiogenesis. This review summaries current knowledge of the expression and roles of these galectins in the progression of human colorectal cancer and discusses the relevance of galectins and their ligands as potential therapeutic targets for cancer treatment.The galectins are a family of 15 mammalian galactosidebinding proteins that share a consensus amino acid sequence in their carbohydrate recognition domains (CRDs). 1 On the basis of their structural differences, members of the galectin family are classified into three subgroups: the prototype, chimera-type and tandem-repeat type. The prototype galectins include galectin-1, À2, À5, À7, À10, À11, À13, À14 and À15. They contain a single CRD in their polypeptide sequences and are often identified as non-covalently linked homodimers. The chimera-type galectin, which has only one member (galectin-3), is composed of a non-lectin domain linked to a CRD and can precipitate as a pentamer. The tandem-repeat-type galectins include galectin-4, À6, À8, À9 and À12 and members of this subgroup of galectins contain two CRDs in a single polypeptide chain and these two CRDs are often different from each other. All galectins are bivalent or multivalent molecules in physiological or pathological conditions as a result either of the presence of two CRDs within a single polypeptide chain or by polymerization, and are able to form arrays and lattice structures on the cell surface following binding to their carbohydrate ligands. 2
Expression of Galectins in Normal and Cancerous Human Colon and RectumIn the normal human colon and rectum, four galectins, galectin-1, À3, À4 and À8, are expressed 3-6 (Table 1).Galectin-1 is expressed weakly in normal colonic epithelium but its expression is increased in inflammation and cancer. Over expression of galectin-1 correlates with increased metastasis of colorectal cancer. 12 Immunohistochemistry reveals galectin-1 expression in 12% of normal colonic mucosa, 40% of adenomas and 84% of carcinomas. 4 Galectin-1 expression is not confined to the epithelium and 91% of adenocarcinomas and 33% of mucinous adenocarcinomas also show strong stromal galectin-1 expression. 4 Galectin-3, one of the most extensively studied galectins, is widely expressed in the human gastrointestinal tract including the colon and rectum. Normal colonic mucosa shows strong nuclear expression of galectin-3. The cells at the base of the crypt have a weak or negative galectin-3 expression, and the intensity of nuclear galecti...