Tyrosine kinase inhibitors and atherosclerosis: A close but complicated relationship

Ke Xu1, Hao Tang1, Jie Xiong2

  • 1Department of Cardiology, The First Hospital of Harbin Medical University, Youzheng Street 23#, Nangang District, Harbin, 150001, Heilongjiang Province, China.

Insights

Tyrosine kinase inhibitors (TKIs) used in cancer therapy can paradoxically promote or prevent atherosclerosis. This review examines how novel TKIs impact atherosclerosis, highlighting the need for further research into their cardiovascular effects.

Area of Science:

  • Oncology
  • Cardiovascular Medicine
  • Pharmacology

Background:

  • Targeted cancer therapies, particularly tyrosine kinase inhibitors (TKIs), have transformed cancer treatment.
  • Clinical and experimental data reveal that TKIs possess dual roles in atherosclerosis, capable of both inducing and preventing it.
  • This duality necessitates a deeper understanding of their cardiovascular impact.

Purpose of the Study:

  • To review and synthesize existing clinical and basic experimental findings on the effects of TKIs on atherosclerosis.
  • To elucidate how the specific mechanisms of novel TKIs influence atherosclerosis development and progression.
  • To address the contradictory roles of TKIs in cardiovascular health.

Main Methods:

  • Comprehensive literature review of clinical trials and preclinical studies.
  • Analysis of data on atherosclerosis-inducing and -preventing properties of various TKIs.
  • Examination of the targeted mechanisms of novel TKIs in relation to atherosclerosis.

Main Results:

  • TKIs exhibit a complex relationship with atherosclerosis, with some promoting cardiovascular events and others showing protective effects.
  • Specific TKI drugs demonstrate distinct impacts on atherosclerosis regulation, influenced by their targeted pathways and patient conditions.
  • Novel TKIs present varied effects on atherosclerosis, underscoring the need for nuanced evaluation.

Conclusions:

  • The role of TKIs in atherosclerosis is multifaceted and drug-specific.
  • Further research is crucial to fully understand the association between TKIs and atherosclerosis.
  • Collaborative efforts are needed to guide clinical practice and mitigate cardiovascular risks associated with TKI therapy.

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