Related Experiment Video
Updated: Jul 26, 2025

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Novel molecular mechanisms of doxorubicin cardiotoxicity: latest leading-edge advances and clinical implications
Y Robert Li1, Kassim Traore2, Hong Zhu3
1Department of Pharmacology, Campbell University Jerry Wallace School of Osteopathic Medicine, Buies Creek, NC, 27560, USA. yli@campbell.edu.
Abstract:
Doxorubicin (Dox) is among the most widely used cancer chemotherapeutic drugs. The clinical use of Dox is, however, limited due to its cardiotoxicity. Studies over the past several decades have suggested various mechanisms of Dox-induced cardiotoxicity (DIC). Among them are oxidative stress, topoisomerase inhibition, and mitochondrial damage. Several novel molecular targets and signaling pathways underlying DIC have emerged over the past few years. The most notable advances include discovery of ferroptosis as a major form of cell death in Dox cytotoxicity, and elucidation of the involvement of cardiogenetics and regulatory RNAs as well as multiple other targets in DIC. In this review, we discuss these advances, focusing on latest cutting-edge research discoveries from mechanistic studies reported in influential journals rather than surveying all research studies available in the literature.
Insights
Doxorubicin (Dox) chemotherapy causes heart damage (cardiotoxicity) through various mechanisms. Recent research highlights ferroptosis, cardiogenetics, and regulatory RNAs as key factors in Dox-induced cardiotoxicity.
Area of Science:
- Oncology
- Cardiology
- Molecular Biology
Background:
- Doxorubicin (Dox) is a vital chemotherapy drug, but its use is restricted by cardiotoxicity.
- Established mechanisms of Dox-induced cardiotoxicity (DIC) include oxidative stress, topoisomerase inhibition, and mitochondrial damage.
Purpose of the Study:
- To review recent advances in understanding the molecular mechanisms of Dox-induced cardiotoxicity.
- To focus on cutting-edge discoveries in influential journals.
Main Methods:
- Literature review of recent mechanistic studies on Dox-induced cardiotoxicity.
- Focus on novel molecular targets and signaling pathways.
Main Results:
- Ferroptosis identified as a significant form of cell death in Dox cytotoxicity.
- Elucidation of the roles of cardiogenetics and regulatory RNAs in DIC.
- Identification of multiple other novel targets and pathways.
Conclusions:
- Recent research has significantly advanced the understanding of Dox-induced cardiotoxicity mechanisms.
- Emerging areas like ferroptosis, cardiogenetics, and regulatory RNAs offer new therapeutic targets for mitigating DIC.
Related Concept Videos
Heart Failure Drugs: Inotropic Agents
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Cardiomyopathy I: Introduction and Classification
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Mechanism of Cardiac Arrhythmias

