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Published on: May 30, 2025
Non-coding RNAs, cancer treatment and cardiotoxicity: A triad of new hope
Rishabh Mittal1, Sarath Krishnan M P1, Rahul Saxena1
1Department of Biochemistry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
Abstract:
The global health landscape has experienced a shift towards non-communicable diseases, with cardiovascular diseases and cancer as leading causes of mortality. Although advancements in healthcare have led to an increase in life expectancy, they have concurrently resulted in a greater burden of chronic health conditions. Unintended consequences of anticancer therapies on various tissues, particularly the cardiovascular system, contribute to elevated morbidity and mortality rates that are not directly attributable to cancer. Consequently, the field of cardio-oncology has emerged to address the prevalence of CVD in cancer survivors and the cardiovascular toxicity associated with cancer therapies. Non-coding RNAs (ncRNAs) have been found to play a crucial role in early diagnosis, prognosis, and therapeutics within the realm of cardio-oncology. This comprehensive review evaluates the risk assessment of cancer survivors concerning the acquisition of adverse cardiovascular consequences, investigates the association of ncRNAs with CVD in patients undergoing cancer treatment, and delves into the role of ncRNAs in the diagnosis, treatment, and prevention of CVD in patients with a history of anti-cancer therapy. A thorough understanding of the pathogenesis of cancer therapy-related cardiovascular disease and the involvement of ncRNAs in cardio-oncology will enable healthcare professionals to provide anticancer treatment with minimized cardiovascular side effects, thereby improving patient outcomes. Ultimately, this comprehensive analysis aims to provide valuable insights into the complex interplay between cancer and cardiovascular diseases, facilitating the development of more effective diagnostic, therapeutic, and preventive strategies in the burgeoning field of cardio-oncology.
Insights
Cardio-oncology addresses cardiovascular disease (CVD) in cancer patients and survivors. Non-coding RNAs (ncRNAs) are key to diagnosing, treating, and preventing CVD during cancer therapy.
Area of Science:
- Cardio-oncology
- Molecular Biology
- Oncology
Background:
- Global health trends show rising non-communicable diseases, including cancer and cardiovascular diseases (CVD).
- Increased life expectancy leads to a higher burden of chronic conditions, including cancer survivors facing cardiovascular complications.
- Anticancer therapies can cause unintended cardiovascular toxicity, increasing morbidity and mortality.
Approach:
- This review assesses cardiovascular risk in cancer survivors.
- It investigates the role of non-coding RNAs (ncRNAs) in CVD among patients undergoing cancer treatment.
- The review explores ncRNAs' utility in diagnosing, treating, and preventing CVD in cancer survivors.
Key Points:
- Non-coding RNAs (ncRNAs) are crucial in cardio-oncology for early diagnosis, prognosis, and therapeutics.
- Understanding cancer therapy-related cardiovascular disease pathogenesis and ncRNAs is vital.
- ncRNAs offer potential for improved diagnostic, therapeutic, and preventive strategies.
Conclusions:
- Minimizing cardiovascular side effects of cancer treatment improves patient outcomes.
- ncRNAs play a significant role in managing cardiovascular health in cancer patients.
- This review provides insights into the interplay between cancer and CVD for better patient care.
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