癌症药物诱发血癌患者心脏毒性综述:当前视角与治疗策略》。

IF 3.8 2区 医学 Q2 ONCOLOGY
Current Treatment Options in Oncology Pub Date : 2024-04-01 Epub Date: 2024-02-19 DOI:10.1007/s11864-023-01175-z
Vincenzo Costanzo, Yashwant Kumar Ratre, Emanuela Andretta, Rakesh Acharya, L V K S Bhaskar, Henu Kumar Verma
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引用次数: 0

摘要

意见陈述:心脏毒性已成为癌症治疗领域(包括化疗、放疗和靶向治疗)各种治疗靶点催化的严重后果。癌症药物诱导的心脏毒性(CDIC)和放射诱导的心脏毒性(CRIC)的重要性日益凸显,需要立即引起重视。本文详细揭示了癌症治疗是如何导致心脏毒性的,而患者特有的风险又加剧了这种毒性。尤其是蒽环类、烷化剂和酪氨酸激酶抑制剂等药物,以及高血压和糖尿病等因素都会带来风险。对氧化应激和拓扑异构酶 II-B 抑制的机理研究至关重要,而心脏生物标志物则显示了早期损害。及时干预和及时治疗,尤其是使用右雷佐生和β-受体阻滞剂等特效药物,对于积极治疗CDIC至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Comprehensive Review of Cancer Drug-Induced Cardiotoxicity in Blood Cancer Patients: Current Perspectives and Therapeutic Strategies.

A Comprehensive Review of Cancer Drug-Induced Cardiotoxicity in Blood Cancer Patients: Current Perspectives and Therapeutic Strategies.

Opinion statement: Cardiotoxicity has emerged as a serious outcome catalyzed by various therapeutic targets in the field of cancer treatment, which includes chemotherapy, radiation, and targeted therapies. The growing significance of cancer drug-induced cardiotoxicity (CDIC) and radiation-induced cardiotoxicity (CRIC) necessitates immediate attention. This article intricately unveils how cancer treatments cause cardiotoxicity, which is exacerbated by patient-specific risks. In particular, drugs like anthracyclines, alkylating agents, and tyrosine kinase inhibitors pose a risk, along with factors such as hypertension and diabetes. Mechanistic insights into oxidative stress and topoisomerase-II-B inhibition are crucial, while cardiac biomarkers show early damage. Timely intervention and prompt treatment, especially with specific agents like dexrazoxane and beta-blockers, are pivotal in the proactive management of CDIC.

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来源期刊
CiteScore
7.10
自引率
0.00%
发文量
113
审稿时长
>12 weeks
期刊介绍: This journal aims to review the most important, recently published treatment option advances in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to cancer treatment. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as endocrine tumors, lymphomas, neuro-oncology, and cancers of the breast, head and neck, lung, skin, gastrointestinal tract, and genitourinary region. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known oncologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.
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