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抗肿瘤药物-蒽环类药物所致心脏损伤的机制、监测及防治研究进展

Research Progress on the Mechanism, Monitoring, and Prevention of Cardiac Injury Caused by Antineoplastic Drugs-Anthracyclines.

作者信息

Chen Yuanyuan, Yang Wenwen, Cui Xiaoshan, Zhang Huiyu, Li Liang, Fu Jianhua, Guo Hao

机构信息

Graduate School, China Academy of Chinese Medical Sciences, Beijing 100700, China.

Department of Cardiology, Shaanxi Academy of Traditional Chinese Medicine, Xi'an 710005, China.

出版信息

Biology (Basel). 2024 Sep 3;13(9):689. doi: 10.3390/biology13090689.

Abstract

Anthracyclines represent a highly efficacious class of chemotherapeutic agents employed extensively in antitumor therapy. They are universally recognized for their potency in treating diverse malignancies, encompassing breast cancer, gastrointestinal tumors, and lymphomas. Nevertheless, the accumulation of anthracyclines within the body can lead to significant cardiac toxicity, adversely impacting both the survival rates and quality of life for tumor patients. This limitation somewhat restricts their clinical utilization. Determining how to monitor and mitigate their cardiotoxicity at an early stage has become an urgent clinical problem to be solved. Therefore, this paper reviews the mechanism of action, early monitoring, and strategies for the prevention of anthracycline-induced cardiotoxicity for clinical reference.

摘要

蒽环类药物是一类高效的化疗药物,广泛应用于抗肿瘤治疗。它们在治疗多种恶性肿瘤方面的效力得到了普遍认可,包括乳腺癌、胃肠道肿瘤和淋巴瘤。然而,蒽环类药物在体内的蓄积会导致严重的心脏毒性,对肿瘤患者的生存率和生活质量产生不利影响。这一局限性在一定程度上限制了它们的临床应用。确定如何在早期监测并减轻其心脏毒性已成为亟待解决的临床问题。因此,本文综述了蒽环类药物所致心脏毒性的作用机制、早期监测及预防策略,以供临床参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81ed/11429024/dccae5d82c57/biology-13-00689-g001.jpg

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