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铁死亡、铜死亡和PAN凋亡在癌症治疗引起的心脏毒性中的相互作用:机制与治疗意义

Interplay of ferroptosis, cuproptosis, and PANoptosis in cancer treatment-induced cardiotoxicity: Mechanisms and therapeutic implications.

作者信息

Yang Fan, Zhang Guoxia, An Na, Dai Qianqian, Cho William, Shang Hongcai, Xing Yanwei

机构信息

Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China.

Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China; Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China.

出版信息

Semin Cancer Biol. 2024 Nov;106-107:106-122. doi: 10.1016/j.semcancer.2024.09.003. Epub 2024 Sep 17.


DOI:10.1016/j.semcancer.2024.09.003
PMID:39299410
Abstract

With the prolonged survival of individuals with cancer, the emergence of cardiovascular diseases (CVD) induced by cancer treatment has become a significant concern, ranking as the second leading cause of death among cancer survivors. This review explores three distinct types of programmed cell death (PCD): ferroptosis, cuproptosis, and PANoptosis, focusing on their roles in chemotherapy-induced cardiotoxicity. While ferroptosis and cuproptosis are triggered by excess iron and copper (Cu), PANoptosis is an inflammatory PCD with features of pyroptosis, apoptosis, and necroptosis. Recent studies reveal intricate connections among these PCD types, emphasizing the interplay between cuproptosis and ferroptosis. Notably, the role of intracellular Cu in promoting ferroptosis through GPX4 is highlighted. Additionally, ROS-induced PANoptosis is influenced by ferroptosis and cuproptosis, suggesting a complex interrelationship. This review provides insights into the molecular mechanisms of these PCD modalities and their distinct contributions to chemotherapy-induced cardiotoxicity. Furthermore, we discuss the potential application of cardioprotective drugs in managing these PCD types. This comprehensive analysis aims to advance the understanding, diagnosis, and therapeutic strategies for cardiotoxicity associated with cancer treatment.

摘要

随着癌症患者生存期的延长,癌症治疗引起的心血管疾病(CVD)的出现已成为一个重大问题,是癌症幸存者中第二大死因。本综述探讨了三种不同类型的程序性细胞死亡(PCD):铁死亡、铜死亡和PANoptosis,重点关注它们在化疗诱导的心脏毒性中的作用。虽然铁死亡和铜死亡分别由过量的铁和铜(Cu)触发,但PANoptosis是一种具有焦亡、凋亡和坏死性凋亡特征的炎症性PCD。最近的研究揭示了这些PCD类型之间的复杂联系,强调了铜死亡和铁死亡之间的相互作用。值得注意的是,强调了细胞内铜通过GPX4促进铁死亡的作用。此外,ROS诱导的PANoptosis受铁死亡和铜死亡的影响,表明存在复杂的相互关系。本综述深入探讨了这些PCD模式的分子机制及其对化疗诱导的心脏毒性的独特作用。此外,我们讨论了心脏保护药物在处理这些PCD类型中的潜在应用。这一全面分析旨在促进对癌症治疗相关心脏毒性的理解、诊断和治疗策略。

相似文献

[1]
Interplay of ferroptosis, cuproptosis, and PANoptosis in cancer treatment-induced cardiotoxicity: Mechanisms and therapeutic implications.

Semin Cancer Biol. 2024-11

[2]
A novel approach to the prevention and management of chemotherapy-induced cardiotoxicity: PANoptosis.

Chem Biol Interact. 2025-2-1

[3]
Fucoxanthin from Targeting PANoptosis and Ferroptosis Pathways: Insights into Its Therapeutic Potential Against Ovarian Cancer.

Mar Drugs. 2025-3-12

[4]
PANoptosis: A new era for anti-cancer strategies.

Life Sci. 2024-12-15

[5]
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Front Immunol. 2022

[6]
Selected Flavonols Targeting Cell Death Pathways in Cancer Therapy: The Latest Achievements in Research on Apoptosis, Autophagy, Necroptosis, Pyroptosis, Ferroptosis, and Cuproptosis.

Nutrients. 2024-4-18

[7]
Targeting cell death pathways for cancer therapy: recent developments in necroptosis, pyroptosis, ferroptosis, and cuproptosis research.

J Hematol Oncol. 2022-12-8

[8]
GSH exhaustion via inhibition of xCT-GSH-GPX4 pathway synergistically enhanced DSF/Cu-induced cuproptosis in myelodysplastic syndromes.

Free Radic Biol Med. 2024-9

[9]
Ferroptosis and cuproptosis: Metal-dependent cell death pathways activated in response to classical chemotherapy - Significance for cancer treatment?

Biochim Biophys Acta Rev Cancer. 2024-7

[10]
Temporal dynamics of PM induced cell death: Emphasizing inflammation as key mediator in the late stages of prolonged myocardial toxicity.

Exp Cell Res. 2025-2-1

引用本文的文献

[1]
Programmed Cell Death in Cancer.

MedComm (2020). 2025-8-31

[2]
From mechanism to application: programmed cell death pathways in nanomedicine-driven cancer therapies.

Bioact Mater. 2025-7-1

[3]
Oxidative stress-mediated PANoptosis and ferroptosis: Exploration of multimodal cell death triggered by an AIE-active nano-photosensitizer via photodynamic therapy.

Theranostics. 2025-6-9

[4]
Targeting ferroptosis for the treatment of female reproductive system disorders.

J Mol Med (Berl). 2025-4

[5]
Copper in cancer: friend or foe? Metabolism, dysregulation, and therapeutic opportunities.

Cancer Commun (Lond). 2025-5

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