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Updated: May 15, 2026

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Published on: June 30, 2023
Cardiovascular complications associated with novel angiogenesis inhibitors: emerging evidence and evolving
Steven M Bair1, Toni K Choueiri, Javid Moslehi
1Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, MA 02115, USA.
Abstract:
Novel cancer therapies targeting tumor angiogenesis have revolutionized treatment options in a variety of tumors. Specifically, VEGF signaling pathway (VSP) inhibitors have been introduced into clinical practice at a rapid pace over the last decade. It is becoming increasingly clear that VSP inhibitors can cause cardiovascular toxicities including hypertension, thrombosis, and heart failure. This review highlights these toxicities and proposes several strategies in their prevention and treatment. However, we recognize the dearth of data in this area and advocate a multi-disciplinary approach involving cardiologists and oncologists, as well as clinical and translational studies, in understanding and treating VSP-inhibitor associated toxicities.
Insights
Novel cancer therapies, including VEGF signaling pathway (VSP) inhibitors, can cause cardiovascular side effects. This review discusses these toxicities and strategies for their prevention and treatment.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Novel cancer therapies targeting tumor angiogenesis have transformed treatment.
- VEGF signaling pathway (VSP) inhibitors are increasingly used in clinical practice.
- These inhibitors are associated with significant cardiovascular toxicities.
Purpose of the Study:
- To review the cardiovascular toxicities associated with VSP inhibitors.
- To propose strategies for the prevention and treatment of these toxicities.
- To advocate for a multidisciplinary approach to manage VSP-inhibitor associated cardiovascular issues.
Main Methods:
- Literature review of studies on VSP inhibitors and cardiovascular toxicities.
- Analysis of reported cases of hypertension, thrombosis, and heart failure.
- Synthesis of current knowledge and proposed management strategies.
Main Results:
- VSP inhibitors can lead to hypertension, thrombosis, and heart failure.
- Data on VSP-inhibitor associated toxicities is limited.
- Effective prevention and treatment strategies require further investigation.
Conclusions:
- Cardiovascular toxicities are a significant concern with VSP inhibitors.
- A multidisciplinary approach involving cardiologists and oncologists is crucial.
- Further clinical and translational studies are needed to understand and manage these toxicities.
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