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Targeting GPCRs Against Cardiotoxicity Induced by Anticancer Treatments
Anais Audebrand1, Laurent Désaubry1, Canan G Nebigil1
1Laboratory of CardioOncology and Therapeutic Innovation, CNRS, Illkirch, France.
Abstract:
Novel anticancer medicines, including targeted therapies and immune checkpoint inhibitors, have greatly improved the management of cancers. However, both conventional and new anticancer treatments induce cardiac adverse effects, which remain a critical issue in clinic. Cardiotoxicity induced by anti-cancer treatments compromise vasospastic and thromboembolic ischemia, dysrhythmia, hypertension, myocarditis, and cardiac dysfunction that can result in heart failure. Importantly, none of the strategies to prevent cardiotoxicity from anticancer therapies is completely safe and satisfactory. Certain clinically used cardioprotective drugs can even contribute to cancer induction. Since G protein coupled receptors (GPCRs) are target of forty percent of clinically used drugs, here we discuss the newly identified cardioprotective agents that bind GPCRs of adrenalin, adenosine, melatonin, ghrelin, galanin, apelin, prokineticin and cannabidiol. We hope to provoke further drug development studies considering these GPCRs as potential targets to be translated to treatment of human heart failure induced by anticancer drugs.
Insights
Novel anticancer drugs can cause heart problems. This study explores G protein coupled receptors (GPCRs) as targets for new cardioprotective drugs to prevent cancer treatment-induced heart failure.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Novel anticancer therapies improve cancer management but cause significant cardiac adverse effects, including heart failure.
- Current cardioprotective strategies are insufficient and may even promote cancer.
- G protein coupled receptors (GPCRs) are crucial drug targets, with 40% of existing drugs interacting with them.
Purpose of the Study:
- To identify novel cardioprotective agents targeting GPCRs for managing cardiotoxicity induced by anticancer treatments.
- To explore the potential of specific GPCRs in preventing or treating anticancer drug-induced heart failure.
Main Methods:
- Review of newly identified cardioprotective agents that bind to specific GPCRs.
- Discussion of GPCRs including those for adrenalin, adenosine, melatonin, ghrelin, galanin, apelin, prokineticin, and cannabidiol.
Main Results:
- Identified several GPCRs (adrenalin, adenosine, melatonin, ghrelin, galanin, apelin, prokineticin, cannabidiol) as potential targets for cardioprotection.
- Highlighted the need for further drug development targeting these GPCRs.
Conclusions:
- GPCRs represent a promising therapeutic avenue for preventing and treating cardiotoxicity associated with anticancer therapies.
- Targeting these GPCRs could lead to safer and more effective treatments for cancer patients experiencing heart failure.
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