Molecular mechanisms of cardiotoxicity induced by ErbB receptor inhibitor cancer therapeutics
Related Experiment Video
Updated: May 16, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Anne-Sophie Hervent1, Gilles W De Keulenaer
1Laboratory of Physiopharmacology (Building T2), University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium. gilles.dekeulenaer@ua.ac.be.
Abstract:
The introduction of the so-called "targeted therapies", particularly those drugs that inhibit the activity of tyrosine kinases, has represented a remarkable progress in the treatment of cancer. Although these drugs improve survival rates in cancer, significant cardiotoxicity, manifesting as left vertricular dysfunction and/or heart failure, has emerged. The ErbB receptor tyrosine kinases are being pursued as therapeutic targets because of their important roles in normal physiology and in cancer. Besides the fact that the ErbB receptors are indispensable during development and in normal adult physiology, epidermal growth factor (EGFR) and ErbB2 in particular have been implicated in the development of many human cancers. This review focuses on the rationale for targeting members of ErbB receptor family and numerous agents that are in use for inhibiting the pathway. We summarize the current knowledge on the physiological role of ErbB signaling in the ventricle and on structural aspects of ErbB receptor activation in cancer and cardiac cells. We examine the underlying mechanisms that result in on-target or off-target cardiotoxicities of ErbB inhibitors, which can influence the design of future anticancer therapies.
Insights
Targeted cancer therapies, like tyrosine kinase inhibitors, improve survival but can cause heart failure. Understanding ErbB receptor signaling and inhibitor cardiotoxicity is crucial for safer cancer treatments.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Targeted therapies, particularly tyrosine kinase inhibitors, have advanced cancer treatment.
- Despite improved survival, these therapies can cause significant cardiotoxicity, including left ventricular dysfunction and heart failure.
- ErbB receptor tyrosine kinases are key targets in cancer therapy due to their roles in cancer development and normal physiology.
Purpose of the Study:
- To review the rationale for targeting ErbB receptors in cancer therapy.
- To discuss agents inhibiting the ErbB pathway.
- To examine the mechanisms of cardiotoxicity associated with ErbB inhibitors.
Main Methods:
- Literature review focusing on ErbB signaling in cancer and cardiac cells.
- Analysis of ErbB receptor activation structures.
- Examination of on-target and off-target cardiotoxicity mechanisms.
Main Results:
- ErbB receptors, including EGFR and ErbB2, are critical in cancer development.
- ErbB signaling plays a role in normal cardiac physiology.
- Cardiotoxicity from ErbB inhibitors can be on-target or off-target.
Conclusions:
- Targeting ErbB receptors offers a promising strategy for cancer treatment.
- Understanding ErbB signaling in the heart is essential to mitigate cardiotoxicity.
- Elucidating cardiotoxicity mechanisms can guide the development of safer anticancer drugs.
More Related Videos
Related Concept Videos
Mitogens and the Cell Cycle
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:

