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Updated: Mar 26, 2026

Ferric Chloride-induced Murine Thrombosis Models
Published on: September 5, 2016
Antineoplastic agents and thrombotic microangiopathy.
Gwenalyn Garcia1, Jean Paul Atallah1
1Department of Medicine, Division of Hematology/Oncology, Staten Island University Hospital, Staten Island, NY, USA.
Thrombotic microangiopathy is a rare side effect of cancer treatments like chemotherapy and targeted therapies. Understanding this adverse event is crucial for managing cancer therapy safely.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Thrombotic microangiopathy (TMA) is a serious adverse effect linked to various antineoplastic drugs.
- This condition has been reported with traditional chemotherapy agents (e.g., mitomycin C, gemcitabine) and newer targeted therapies, including vascular endothelial growth factor inhibitors.
Purpose of the Study:
- To review the occurrence of thrombotic microangiopathy (TMA) associated with antineoplastic agents.
- To discuss the implications of TMA in the context of current cancer treatment strategies.
Main Methods:
- Literature review of reported cases and studies on antineoplastic agent-induced TMA.
- Analysis of drug classes associated with TMA.
- Synthesis of clinical implications for cancer therapy management.
Main Results:
- Thrombotic microangiopathy (TMA) is an uncommon but recognized complication of diverse antineoplastic drugs.
- Both conventional chemotherapy and targeted therapies can induce TMA.
- Specific examples include mitomycin C, gemcitabine, and VEGF inhibitors.
Conclusions:
- Awareness of thrombotic microangiopathy (TMA) is essential for oncologists and hematologists.
- Monitoring for TMA is critical during treatment with certain antineoplastic agents.
- Managing TMA may require dose modification or discontinuation of cancer therapy.
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