Changing Hearts and Minds: Improving Outcomes in Cancer Treatment-Related Cardiotoxicity

Nonniekaye Shelburne1,2, Naoko I Simonds3, Bishow Adhikari4

  • 1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA. nshelburne@nih.gov.

Current Oncology Reports
|February 1, 2019
PubMed

Insights

Cancer treatments can harm the heart, causing serious health issues for survivors. Recent research highlights progress and identifies new priorities for preventing and managing cancer treatment-related cardiotoxicity.

Area of Science:

  • Cardiology
  • Oncology
  • Translational Science

Background:

  • Cardiotoxicity from cancer therapies is a significant cause of morbidity and mortality in cancer survivors.
  • Previous workshops in 2013 and 2018 identified key challenges and research directions.

Purpose of the Study:

  • To review advances in understanding and managing cancer treatment-related cardiotoxicity since 2013.
  • To outline updated scientific priorities for future research in this field.

Main Methods:

  • Convening of a "Changing Hearts and Minds" Workshop by the National Cancer Institute and National Heart, Lung, and Blood Institute in June 2018.
  • Review of progress in basic and clinical cardiotoxicity research.
  • Identification of knowledge gaps and promising research opportunities.

Main Results:

  • Increased National Institutes of Health funding and coordination for cardiotoxicity research since 2013.
  • Identification of over 20 new research opportunities in basic and clinical cardiotoxicity.
  • Significant progress in understanding mechanisms, detection, management, and prevention of cardiotoxicity.

Conclusions:

  • Substantial progress has been made in addressing cancer treatment-related cardiotoxicity.
  • Critical knowledge gaps remain, necessitating continued research and funding.
  • Future research priorities have been identified to improve outcomes for cancer survivors.
Abstract

Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.8K
Predicting Reaction Outcomes02:24

Predicting Reaction Outcomes

Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.8K
Outcomes of Glycolysis01:13

Outcomes of Glycolysis

Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.1K
Global Climate Change01:50

Global Climate Change

Throughout its ~4.5 billion year history, the Earth has experienced periods of warming and cooling. However, the current drastic increase in global temperatures is well outside of the Earth’s cyclic norms, and evidence for human-caused global climate change is compelling. Paleoclimatology, the study of ancient climate conditions, provides ample evidence for human-caused global climate change by comparing recent conditions with those in the past.
28.9K
Net Change Theorem01:22

Net Change Theorem

The Net Change Theorem is a fundamental principle in calculus that establishes a direct relationship between a function’s rate of change and its accumulated change over an interval. Mathematically, it states that the definite integral of a function's derivative over a given interval [a,b] yields the net change in the original function:This theorem has significant applications in various real-world scenarios, including physics, economics, and engineering. A particularly useful application...
69
Rates of Change01:20

Rates of Change

The rate of change is a central concept in mathematics that quantifies how one variable varies in response to another. It serves as a foundational tool in modeling dynamic systems across disciplines such as physics, biology, economics, and engineering. Understanding both average and instantaneous rates of change enables the analysis of behavior in functions that describe real-world phenomena.Average Rate of ChangeFor a function f(x) defined over an interval [x1,x2], the average rate of change...
87