Braumann Simon, Baldus Stephan, Pfister Roman
Department of Cardiology, Heart Center, University of Cologne, Cologne Cardiovascular Research Center, Cologne, Germany.
J Thorac Dis. 2018 Dec;10(Suppl 35):S4335-S4343. doi: 10.21037/jtd.2018.10.107.
Novel cancer therapeutics contribute to a steadily declining cancer mortality. However, several of these new therapies target pathways also involved in the cardiovascular system thus causing cardiotoxic side effects such as chemotherapy-induced heart failure (CIHF). This might limit the applicability of these effective treatments in a relevant number of patients. Furthermore, given the improving cancer survival rates, chemotherapy-induced cardiotoxic complications receive increasing attention given their potential impact on long-term morbidity and mortality. The understanding of molecular mechanisms that underlie CIHF is crucial for future improvement of pharmacodynamics of these therapeutics but also for developing specific interventions to prevent CIHF. Here, we discuss molecular mechanisms underlying CIHF of novel cancer therapeutics including a short synopsis on clinical management of patients suffering from CIHF.
新型癌症治疗方法使癌症死亡率稳步下降。然而,其中一些新疗法所针对的信号通路也参与心血管系统,从而导致心脏毒性副作用,如化疗引起的心力衰竭(CIHF)。这可能会限制这些有效治疗方法在相当数量患者中的适用性。此外,鉴于癌症生存率不断提高,化疗引起的心脏毒性并发症因其对长期发病率和死亡率的潜在影响而受到越来越多的关注。了解CIHF的分子机制对于未来改善这些治疗方法的药效学以及开发预防CIHF的特异性干预措施至关重要。在此,我们讨论新型癌症治疗方法导致CIHF的分子机制,包括对CIHF患者临床管理的简要概述。