From Molecular Mechanisms to Clinical Management of Antineoplastic Drug-Induced Cardiovascular Toxicity: A Translational Overview.

Carlo Gabriele Tocchetti, Christian Cadeddu, Daniela Di Lisi, Saveria Femminò, Rosalinda Madonna, Donato Mele, Ines Monte, Giuseppina Novo, Claudia Penna, Alessia Pepe, Paolo Spallarossa, Gilda Varricchi, Concetta Zito, Pasquale Pagliaro, Giuseppe Mercuro
Author Information
  1. Carlo Gabriele Tocchetti: 1 Department of Translational Medical Sciences, Federico II University, Naples, Italy.
  2. Christian Cadeddu: 2 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
  3. Daniela Di Lisi: 3 Biomedical Department of Internal Medicine, University of Palermo, Palermo, Italy.
  4. Saveria Femminò: 4 Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
  5. Rosalinda Madonna: 5 Center of Aging Sciences and Translational Medicine - CESI-MeT, "G. d'Annunzio" University, Chieti, Italy.
  6. Donato Mele: 7 Cardiology Unit, Emergency Department, University Hospital of Ferrara, Ferrara, Italy.
  7. Ines Monte: 8 Department of General Surgery and Medical-Surgery Specialities, University of Catania, Catania, Italy.
  8. Giuseppina Novo: 3 Biomedical Department of Internal Medicine, University of Palermo, Palermo, Italy.
  9. Claudia Penna: 4 Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
  10. Alessia Pepe: 9 U.O.C. Magnetic Resonance Imaging, Fondazione Toscana G. Monasterio C.N.R., Pisa, Italy.
  11. Paolo Spallarossa: 10 Clinic of Cardiovascular Diseases, IRCCS San Martino IST, Genova, Italy.
  12. Gilda Varricchi: 1 Department of Translational Medical Sciences, Federico II University, Naples, Italy.
  13. Concetta Zito: 12 Division of Cardiology, Clinical and Experimental Department of Medicine and Pharmacology, Policlinico "G. Martino" University of Messina, Messina, Italy.
  14. Pasquale Pagliaro: 4 Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
  15. Giuseppe Mercuro: 2 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Abstract

Antineoplastic therapies have significantly improved the prognosis of oncology patients. However, these treatments can bring to a higher incidence of side-effects, including the worrying cardiovascular toxicity (CTX). Substantial evidence indicates multiple mechanisms of CTX, with redox mechanisms playing a key role. Recent data singled out mitochondria as key targets for antineoplastic drug-induced CTX; understanding the underlying mechanisms is, therefore, crucial for effective cardioprotection, without compromising the efficacy of anti-cancer treatments. CTX can occur within a few days or many years after treatment. Type I CTX is associated with irreversible cardiac cell injury, and it is typically caused by anthracyclines and traditional chemotherapeutics. Type II CTX is generally caused by novel biologics and more targeted drugs, and it is associated with reversible myocardial dysfunction. Therefore, patients undergoing anti-cancer treatments should be closely monitored, and patients at risk of CTX should be identified before beginning treatment to reduce CTX-related morbidity. Genetic profiling of clinical risk factors and an integrated approach using molecular, imaging, and clinical data may allow the recognition of patients who are at a high risk of developing chemotherapy-related CTX, and it may suggest methodologies to limit damage in a wider range of patients. The involvement of redox mechanisms in cancer biology and anticancer treatments is a very active field of research. Further investigations will be necessary to uncover the hallmarks of cancer from a redox perspective and to develop more efficacious antineoplastic therapies that also spare the cardiovascular system.

Keywords

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MeSH Term

Antineoplastic Agents
Cardiotoxicity
Humans
Mitochondria
Oxidation-Reduction

Chemicals

Antineoplastic Agents

Word Cloud

Created with Highcharts 10.0.0CTXpatientstreatmentsmechanismsredoxriskcancerAntineoplastictherapiescancardiovascularkeydataantineoplasticanti-cancertreatmentTypeassociatedcausedclinicalmayinhibitorssignificantlyimprovedprognosisoncologyHoweverbringhigherincidenceside-effectsincludingworryingtoxicitySubstantialevidenceindicatesmultipleplayingroleRecentsingledmitochondriatargetsdrug-inducedunderstandingunderlyingthereforecrucialeffectivecardioprotectionwithoutcompromisingefficacyoccurwithindaysmanyyearsirreversiblecardiaccellinjurytypicallyanthracyclinestraditionalchemotherapeuticsIIgenerallynovelbiologicstargeteddrugsreversiblemyocardialdysfunctionThereforeundergoingcloselymonitoredidentifiedbeginningreduceCTX-relatedmorbidityGeneticprofilingfactorsintegratedapproachusingmolecularimagingallowrecognitionhighdevelopingchemotherapy-relatedsuggestmethodologieslimitdamagewiderrangeinvolvementbiologyanticanceractivefieldresearchinvestigationswillnecessaryuncoverhallmarksperspectivedevelopefficaciousalsosparesystemMolecularMechanismsClinicalManagementDrug-InducedCardiovascularToxicity:TranslationalOverviewErbB2immunotherapychemotherapyoxidative/nitrosativestresstyrosinekinasevascularendothelialgrowthfactor

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