Precision Cardio-oncology: Update on Omics-Based Diagnostic Methods

Curr Treat Options Oncol. 2024 May;25(5):679-701. doi: 10.1007/s11864-024-01203-6. Epub 2024 Apr 27.

Abstract

Cardio-oncology is an emerging interdisciplinary field dedicated to the early detection and treatment of adverse cardiovascular events associated with anticancer treatment, and current clinical management of anticancer-treatment-related cardiovascular toxicity (CTR-CVT) remains limited by a lack of detailed phenotypic data. However, the promise of diagnosing CTR-CVT using deep phenotyping has emerged with the development of precision medicine, particularly the use of omics-based methodologies to discover sensitive biomarkers of the disease. In the future, combining information produced by a variety of omics methodologies could expand the clinical practice of cardio-oncology. In this review, we demonstrate how omics approaches can improve our comprehension of CTR-CVT deep phenotyping, discuss the positive and negative aspects of available omics approaches for CTR-CVT diagnosis, and outline how to integrate multiple sets of omics data into individualized monitoring and treatment. This will offer a reliable technical route for lowering cardiovascular morbidity and mortality in cancer patients and survivors.

Keywords: Cardio-oncology; Cardiotoxicity; Omics; Precision medicine.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Biomarkers
  • Cardio-Oncology
  • Cardiotoxicity* / diagnosis
  • Cardiotoxicity* / etiology
  • Cardiovascular Diseases* / diagnosis
  • Cardiovascular Diseases* / etiology
  • Cardiovascular Diseases* / therapy
  • Disease Management
  • Disease Susceptibility
  • Genomics* / methods
  • Humans
  • Medical Oncology / methods
  • Metabolomics / methods
  • Neoplasms* / complications
  • Neoplasms* / diagnosis
  • Neoplasms* / therapy
  • Precision Medicine* / methods
  • Proteomics / methods

Substances

  • Antineoplastic Agents
  • Biomarkers