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Published on: June 15, 2018
MicroRNAs in Cancer Treatment-Induced Cardiotoxicity
Laura Pellegrini1, Sara Sileno2, Marco D'Agostino2
1Institute of Oncology Research (IOR), 6500 Bellinzona, Switzerland.
Abstract:
Cancer treatment has made significant progress in the cure of different types of tumors. Nevertheless, its clinical use is limited by unwanted cardiotoxicity. Aside from the conventional chemotherapy approaches, even the most newly developed, i.e., molecularly targeted therapy and immunotherapy, exhibit a similar frequency and severity of toxicities that range from subclinical ventricular dysfunction to severe cardiomyopathy and, ultimately, congestive heart failure. Specific mechanisms leading to cardiotoxicity still remain to be elucidated. For instance, oxidative stress and DNA damage are considered key players in mediating cardiotoxicity in different treatments. microRNAs (miRNAs) act as key regulators in cell proliferation, cell death, apoptosis, and cell differentiation. Their dysregulation has been associated with adverse cardiac remodeling and toxicity. This review provides an overview of the cardiotoxicity induced by different oncologic treatments and potential miRNAs involved in this effect that could be used as possible therapeutic targets.
Insights
Cancer therapies can harm the heart, causing cardiotoxicity. This review explores how microRNAs (miRNAs) are involved in cancer treatment-induced heart damage and could be therapeutic targets.
Area of Science:
- Oncology
- Cardiology
- Molecular Biology
Background:
- Cancer treatments, including chemotherapy, targeted therapy, and immunotherapy, offer significant progress but are limited by cardiotoxicity.
- Cardiotoxicity manifests as ventricular dysfunction, cardiomyopathy, and heart failure, impacting patient outcomes.
- Mechanisms like oxidative stress, DNA damage, and microRNA (miRNA) dysregulation contribute to cardiac toxicity.
Purpose of the Study:
- To review cardiotoxicity induced by various cancer treatments.
- To explore the role of microRNAs (miRNAs) in cancer treatment-related cardiotoxicity.
- To identify potential miRNA-based therapeutic targets for mitigating cardiac damage.
Main Methods:
- Literature review of studies on cancer treatment cardiotoxicity.
- Analysis of mechanisms underlying cardiotoxicity, including oxidative stress and DNA damage.
- Investigation of microRNA (miRNA) involvement in cardiac remodeling and toxicity.
Main Results:
- Diverse cancer therapies induce cardiotoxicity with varying severity.
- MicroRNAs (miRNAs) are crucial regulators of cardiac cell function and are dysregulated in cardiotoxicity.
- Specific miRNAs show potential as biomarkers and therapeutic targets for cardiotoxicity.
Conclusions:
- Cardiotoxicity remains a significant challenge in cancer care.
- MicroRNA (miRNA) dysregulation is implicated in cancer treatment-induced heart disease.
- Targeting miRNAs may offer novel strategies to prevent or treat cardiotoxicity.
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