Cardiotoxicity of molecularly targeted agents
Related Experiment Video
Updated: May 20, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Nadia Hedhli1, Kerry S Russell
1Department of Internal Medicine-Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT 06520-8017, USA.
Abstract:
Cardiac toxicity of molecularly targeted cancer agents is increasingly recognized as a significant side effect of chemotherapy. These new potent therapies may not only affect the survival of cancer cells, but have the potential to adversely impact normal cardiac and vascular function. Unraveling the mechanisms by which these therapies affect the heart and vasculature is crucial for improving drug design and finding alternative therapies to protect patients predisposed to cardiovascular disease. In this review, we summarize the classification and side effects of currently approved molecularly targeted chemotherapeutics.
Insights
Molecularly targeted cancer agents can cause cardiac toxicity, impacting heart and vascular function. Understanding these mechanisms is vital for safer drug design and patient protection.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Cardiac toxicity is a recognized side effect of molecularly targeted cancer therapies.
- These agents can adversely affect normal cardiac and vascular function, beyond cancer cell survival.
Purpose of the Study:
- To summarize the classification and side effects of approved molecularly targeted chemotherapeutics.
- To highlight the importance of understanding mechanisms of cardiotoxicity for improved drug design and patient care.
Main Methods:
- Review of currently approved molecularly targeted chemotherapeutics.
- Analysis of reported cardiac and vascular side effects.
- Summary of proposed mechanisms of cardiotoxicity.
Main Results:
- Molecularly targeted agents exhibit a range of cardiac toxicities.
- Specific drug classes are associated with distinct cardiovascular adverse events.
- Mechanisms involve direct cellular effects and indirect pathway modulation.
Conclusions:
- Understanding cardiotoxicity mechanisms is crucial for developing cardioprotective strategies.
- Risk stratification and monitoring are essential for patients receiving these therapies.
- Further research is needed to optimize drug design and minimize cardiovascular risks.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Heart Failure Drugs: Inotropic Agents
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Drug Toxicity: Dose-Dependent Reactions

