Cardiovascular Biomarkers in Cardio-Oncology: Antineoplastic Drug Cardiotoxicity and Beyond

Biomolecules. 2024 Feb 7;14(2):199. doi: 10.3390/biom14020199.

Abstract

Serum biomarkers represent a reproducible, sensitive, minimally invasive and inexpensive method to explore possible adverse cardiovascular effects of antineoplastic treatments. They are useful tools in risk stratification, the early detection of cardiotoxicity and the follow-up and prognostic assessment of cancer patients. In this literature review, we aim at describing the current state of knowledge on the meaning and the usefulness of cardiovascular biomarkers in patients with cancer; analyzing the intricate relationship between cancer and cardiovascular disease (especially HF) and how this affects cardiovascular and tumor biomarkers; exploring the role of cardiovascular biomarkers in the risk stratification and in the identification of chemotherapy-induced cardiotoxicity; and providing a summary of the novel potential biomarkers in this clinical setting.

Keywords: biomarkers; cancer; cardiac dysfunction; cardiotoxicity; heart failure; multiple myeloma; natriuretic peptides; omics science; troponin.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Biomarkers
  • Biomarkers, Tumor
  • Cardio-Oncology
  • Cardiotoxicity / diagnosis
  • Cardiotoxicity / etiology
  • Humans
  • Neoplasms* / chemically induced
  • Neoplasms* / complications
  • Neoplasms* / drug therapy

Substances

  • Antineoplastic Agents
  • Biomarkers
  • Biomarkers, Tumor

Grants and funding

C.G.T.: Italian Ministry of Health (PNRR-MAD-2022-12376632).