Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Curr Heart Fail Rep. 2024 Jun;21(3):214-223. doi: 10.1007/s11897-024-00652-2. Epub 2024 Mar 2.
Immune checkpoint inhibitor (ICI) therapy has emerged as a pivotal advancement in cancer treatment, but the widespread adoption has given rise to a growing number of reports detailing significant cardiovascular toxicity. This review concentrates on elucidating the mechanisms behind ICI-related cardiovascular complications, emphasizing preclinical and mechanistic data.
Accumulating evidence indicates a more significant role of immune checkpoints in maintaining cardiac integrity than previously understood, and new key scientific data are available to improve our understanding of ICI-related cardiovascular toxicity, including hidden cardiotoxicity. New avenues for innovative concepts are hypothesized, and opportunities to leverage the knowledge from ICI-therapy for pioneering approaches in related scientific domains can be derived from the latest scientific projects. Cardiotoxicity from ICI therapy is a paramount challenge for cardio-oncology. Understanding the underlying effects builds the foundation for tailored cardioprotective approaches in the growing collective at risk for severe cardiovascular complications.
免疫检查点抑制剂 (ICI) 疗法已成为癌症治疗的重要进展,但随着其广泛应用,越来越多的报告详细描述了严重的心血管毒性。本综述集中阐明了与 ICI 相关心血管并发症相关的机制,强调了临床前和机制数据。
越来越多的证据表明,免疫检查点在维持心脏完整性方面的作用比以前理解的更为重要,并且有新的关键科学数据可用于提高我们对 ICI 相关心血管毒性的认识,包括隐藏的心脏毒性。假设了新的创新概念途径,并可以从最新的科学项目中获得利用 ICI 治疗相关知识为相关科学领域开拓性方法的机会。ICI 治疗的心脏毒性是心血管肿瘤学的主要挑战。了解潜在影响为在不断增长的易发生严重心血管并发症的人群中制定针对性的心脏保护方法奠定了基础。