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Updated: Aug 2, 2026

Strategies for Tracking Anastasis, A Cell Survival Phenomenon that Reverses Apoptosis
Published on: February 16, 2015
The dilemma of the strive for apoptosis in oncology: mind the heart
Patrick J Perik1, Elisabeth G E de Vries, Jourik A Gietema
1Department of Cardiology, Thorax center, University Hospital Groningen, Groningen, 9700 RB, The Netherlands.
Abstract:
In recent years, apoptosis has increasingly drawn the attention of both oncologists and cardiologists alike. Anticancer treatment is possible by induction of apoptosis in cancer cells, and targeted anticancer drugs are being developed to promote this. However, since these drugs usually are not selective for malignant cells, side effects on non-cancerous tissue, such as the myocardium must be anticipated. Since apoptosis is a pathophysiological mechanism in cardiac diseases leading to heart failure, cardiologists in contrast to oncologists, aim at preventing apoptosis in the heart. The purpose of this review is to describe new insights in mechanisms of cardiomyocyte apoptosis. In addition to the mitochondrial and death receptor apoptotic pathways, apoptosis through lack or inhibition of growth factor receptor-mediated signalling is discussed. Exploration of the apoptotic pathways in the heart can contribute to the safer use of new anticancer drugs and to the development of new therapies for heart failure.
Insights
This review explores cardiomyocyte apoptosis, crucial for both cancer treatment and heart failure. Understanding these pathways aids in developing safer anticancer drugs and novel heart failure therapies.
Area of Science:
- Cardiology
- Oncology
- Molecular Biology
Background:
- Apoptosis (programmed cell death) is a key target in cancer therapy, with drugs designed to induce it in malignant cells.
- However, non-selective anticancer drugs can induce apoptosis in healthy tissues, notably the myocardium, leading to cardiotoxicity.
- Conversely, apoptosis contributes to heart failure pathogenesis, making its inhibition a therapeutic goal for cardiologists.
Purpose of the Study:
- To review recent advancements in understanding the mechanisms of cardiomyocyte apoptosis.
- To discuss the dual role of apoptosis in cancer and heart disease, highlighting the divergent therapeutic strategies.
Main Methods:
- Literature review of current research on apoptotic pathways.
- Analysis of mitochondrial and death receptor-mediated apoptosis.
- Exploration of apoptosis induced by growth factor receptor signaling inhibition.
Main Results:
- Detailed insights into the molecular mechanisms driving cardiomyocyte apoptosis.
- Identification of common and distinct apoptotic pathways relevant to oncology and cardiology.
- Understanding of how growth factor signaling impacts cardiomyocyte survival.
Conclusions:
- Elucidating cardiomyocyte apoptosis mechanisms is vital for improving anticancer drug safety.
- This knowledge can drive the development of targeted therapies for heart failure.
- A deeper understanding facilitates a more integrated approach to treating cancer patients with cardiac comorbidities.
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