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Updated: May 12, 2026

Drug-Induced Senescence in Liver Cells Promotes M2 Macrophage Polarization: Implications for Tyrosine Kinase Inhibitor-Associated Hepatotoxicity
Published on: October 17, 2025
Cardiovascular toxicity of tyrosine kinase inhibitors
Elie Mouhayar1, Jean-Bernard Durand, Jorge Cortes
1University of Texas/MD Anderson Cancer Center, Cardiology, 1515 Holcombe Boulevard, Unit 1451, Houston, TX, 77030-4009, USA. emouhayar@mdanderson.org
Introduction:
Small-molecule tyrosine kinase inhibitors (TKIs) have revolutionized the management of many malignancies. However, they also have been shown to be associated with a certain degree of cardiovascular side effects that are often reversible.
Areas Covered:
As the number of new TKIs continues to grow, it is expected that clinicians will be facing the challenge of early detection and 10 management of these side effects while balancing the risk-benefit ratios of continuing with life-saving cancer therapy medications. This review will present the current knowledge related to incidence and proposed mechanisms of cardiovascular side effects of TKIs and also discuss treatment recommendations when available
Expert Opinion:
We will present and discuss available data and suggest recommendations related to patient monitoring and early identification of TKIs related cardiovascular toxities.
Insights
Tyrosine kinase inhibitors (TKIs) offer cancer treatment benefits but can cause reversible cardiovascular side effects. Early detection and management are crucial for patients undergoing TKI therapy.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Small-molecule tyrosine kinase inhibitors (TKIs) have transformed cancer treatment.
- TKIs are associated with cardiovascular side effects, which are often reversible.
Purpose of the Study:
- To review the incidence and mechanisms of TKI-associated cardiovascular side effects.
- To provide recommendations for managing these toxicities in cancer patients.
Main Methods:
- Literature review of current knowledge on TKI cardiovascular side effects.
- Analysis of proposed mechanisms and clinical data.
Main Results:
- Growing number of TKIs presents challenges in managing cardiovascular side effects.
- Balancing cancer treatment efficacy with cardiovascular risk is essential.
Conclusions:
- Recommendations for patient monitoring and early identification of TKI-related cardiovascular toxicities will be discussed.
- Effective management strategies are needed to optimize patient outcomes.
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