Department of Cardiac Surgery, The First Hospital Affiliated to the Army Medical University, Chongqing, 400038, China.
Department of Cardiac Surgery, The First Hospital Affiliated to the Army Medical University, Chongqing, 400038, China.
Environ Res. 2023 Dec 1;238(Pt 2):116896. doi: 10.1016/j.envres.2023.116896. Epub 2023 Aug 14.
Cancer therapy-induced heart injury is a significant concern for cancer patients undergoing chemotherapy, radiotherapy, immunotherapy, and also targeted molecular therapy. The use of these treatments can lead to oxidative stress and cardiomyocyte damage in the heart, which can result in heart failure and other cardiac complications. Experimental studies have revealed that chemotherapy drugs such as doxorubicin and cyclophosphamide can cause severe side effects such as cardiac fibrosis, electrophysiological remodeling, chronic oxidative stress and inflammation, etc., which may increase risk of cardiac disorders and attacks for patients that underwent chemotherapy. Similar consequences may also be observed for patients that undergo radiotherapy for left breast or lung malignancies. Polyphenols, a group of natural compounds with antioxidant and anti-inflammatory properties, have shown the potential in protecting against cancer therapy-induced heart injury. These compounds have been found to reduce oxidative stress, necrosis and apoptosis in the heart, thereby preserving cardiac function. In recent years, nanoparticles loaded with polyphenols have also provided for the delivery of these compounds and increasing their efficacy in different organs. These nanoparticles can improve the bioavailability and efficacy of polyphenols while minimizing their toxicity. This review article summarizes the current understanding of the protective effects of polyphenols and nanoparticles loaded with polyphenols against cancer therapy-induced heart injury. The article discusses the mechanisms by which polyphenols protect the heart, including antioxidant and anti-inflammation abilities. The article also highlights the potential benefits of using nanoparticles for the delivery of polyphenols.
癌症治疗引起的心脏损伤是癌症患者在接受化疗、放疗、免疫治疗以及靶向分子治疗时的一个重大问题。这些治疗方法的使用会导致心脏中的氧化应激和心肌细胞损伤,从而导致心力衰竭和其他心脏并发症。实验研究表明,多柔比星和环磷酰胺等化疗药物会导致严重的副作用,如心脏纤维化、电生理重构、慢性氧化应激和炎症等,这可能会增加接受化疗的患者心脏疾病和发作的风险。接受左乳或肺癌放疗的患者也可能出现类似的后果。多酚是一组具有抗氧化和抗炎特性的天然化合物,具有预防癌症治疗引起的心脏损伤的潜力。这些化合物已被发现可减少心脏中的氧化应激、坏死和细胞凋亡,从而保护心脏功能。近年来,负载多酚的纳米粒子也为这些化合物的递释提供了可能,并提高了它们在不同器官中的疗效。这些纳米粒子可以提高多酚的生物利用度和疗效,同时最大限度地降低其毒性。本文综述了多酚和负载多酚的纳米粒子对癌症治疗引起的心脏损伤的保护作用的现有认识。文章讨论了多酚保护心脏的机制,包括抗氧化和抗炎能力。文章还强调了使用纳米粒子递释多酚的潜在益处。