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Author Spotlight: Advancing Cancer Associated Thrombosis Research in Rodent Models
Published on: January 5, 2024
Thrombotic microangiopathies and antineoplastic agents
Steven Grangé1, Paul Coppo2, 3
1Service de réanimation, CHU Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France; Centre de référence des microangiopathies thrombotiques (CNR-MAT), AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
Cancer treatment can cause thrombotic microangiopathy, a serious condition. Early recognition and understanding of drug-induced versus cancer-related causes are crucial for improved patient outcomes.
Area of Science:
- Oncology
- Hematology
- Nephrology
Background:
- Thrombotic microangiopathy (TMA) is an increasing complication of cancer treatment.
- Awareness and use of anti-vascular endothelium growth factor (VEGF) drugs contribute to increased incidence.
- Distinguishing TMA from malignancy-induced TMA is critical for management and prognosis.
Purpose of the Study:
- To highlight the importance of recognizing cancer treatment-related TMA.
- To inform practitioners about antineoplastic agents causing TMA, their mechanisms, and management.
- To differentiate TMA caused by antineoplastic agents from that caused by malignancy.
Main Methods:
- Review of existing literature on chemotherapy-induced TMA.
- Analysis of mechanisms underlying TMA development with antineoplastic agents.
- Evaluation of diagnostic and management strategies for TMA in cancer patients.
Main Results:
- Chemotherapy-associated TMA has a historically poor prognosis.
- Understanding pathophysiology and exploring novel therapies like complement blockers may improve outcomes.
- Distinguishing between drug-induced and cancer-induced TMA is essential for appropriate treatment.
Conclusions:
- Cancer treatment-related TMA requires prompt recognition and tailored management.
- Further research into TMA pathophysiology and therapeutic interventions is warranted.
- Complement inhibitors show promise for treating certain forms of TMA.
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