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乳腺癌非侵入性治疗相关心血管毒性的综合综述

Comprehensive review of non-invasive-treatment-related cardiovascular toxicity in breast cancer.

作者信息

Li Cenyu, Dai Huijuan, Guo Xinning, Zhou Liheng, Jiang Meng

机构信息

Division of Cardiology, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 160 Pujian Road, Shanghai 200127, China.

Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

出版信息

iScience. 2025 Jan 4;28(4):111759. doi: 10.1016/j.isci.2025.111759. eCollection 2025 Apr 18.

Abstract

Cardiovascular toxicity is a significant side effect of breast cancer treatment and has emerged as a leading cause of non-tumor-related deaths among breast cancer survivors, emphasizing the critical need for effective monitoring and management of these complications. As breast cancer remains the most prevalent cancer among women, advancements in survival rates have been achieved through treatments such as chemotherapy, targeted therapy, endocrine therapy, immunotherapy, and radiotherapy. This review provides a comprehensive understanding of the cardiovascular toxicity mechanisms associated with both established and emerging breast cancer therapies, identifies potential therapeutic targets and monitoring strategies, and highlights key deficiencies and challenges in the field. By offering insights into the early detection, prevention, and management of cardiovascular complications, this review aims to guide future research directions and clinical practices, ultimately improving outcomes for breast cancer patients.

摘要

心血管毒性是乳腺癌治疗的一种重要副作用,已成为乳腺癌幸存者中非肿瘤相关死亡的主要原因,这凸显了对这些并发症进行有效监测和管理的迫切需求。由于乳腺癌仍是女性中最常见的癌症,通过化疗、靶向治疗、内分泌治疗、免疫治疗和放疗等治疗方法,生存率已有所提高。本综述全面阐述了与既定和新兴乳腺癌治疗相关的心血管毒性机制,确定了潜在的治疗靶点和监测策略,并强调了该领域的主要不足和挑战。通过深入了解心血管并发症的早期检测、预防和管理,本综述旨在指导未来的研究方向和临床实践,最终改善乳腺癌患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb1/11980005/94cdd7cca9e4/fx1.jpg

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