Cancer Therapeutics-Related Cardiac Dysfunction - Insights From Bench and Bedside of Onco-Cardiology

Circ J. 2020 Aug 25;84(9):1446-1453. doi: 10.1253/circj.CJ-20-0467. Epub 2020 Jul 29.

Abstract

Improvements in the long-term survival of cancer patients have led to growing awareness of the clinical importance of cancer therapeutics-related cardiac dysfunction (CTRCD), which can have a considerable effect on the prognosis and quality of life of cancer patients and survivors. Under such circumstances, onco-cardiology/cardio-oncology has emerged as a new discipline, with the aim of best managing cardiovascular complications, including CTRCD. Despite the recent accumulation of epidemiological and clinical information regarding CTRCD, the molecular mechanisms underlying the pathogenesis of CTRCD by individual drugs remain to be determined. To achieve the goal of preventing cardiovascular complications in cancer patients and survivors, it is important to elucidate the pathogenic mechanisms and to establish diagnostic strategies with risk prediction and mechanism- and evidence-based therapies against CTRCD.

Keywords: Angiogenesis inhibitor; Anthracycline; Human epidermal growth factor receptor 2 (HER2) inhibitor; Proteasome inhibitor; Tyrosine kinase inhibitor.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects*
  • Cardiotoxicity
  • Cardiovascular Diseases / chemically induced*
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / genetics
  • Comorbidity
  • Genetic Predisposition to Disease
  • Humans
  • Japan / epidemiology
  • Mice
  • Neoplasms / drug therapy*
  • Neoplasms / epidemiology*
  • Neoplasms / mortality
  • Polymorphism, Single Nucleotide
  • Quality of Life
  • Risk Factors

Substances

  • Antineoplastic Agents