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.

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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