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Oncohypertension: Unraveling the Link Between Cancer and Hypertension
Prakash Gudsoorkar1, Paul E Hanna2, Priti Meena3
1Division of Nephrology, University of Cincinnati, Cincinncati, OH.
Abstract:
Cancer therapies have reshaped survival, but have also unmasked hypertension as a common and clinically significant complication with distinct underlying mechanisms. This review uniquely integrates mechanistic insights, particularly those related to vascular signaling pathway inhibition, alongside emerging pathways implicated in other molecularly targeted therapies, with practical therapeutic considerations specific to oncology populations. We examine how cancer biology and treatment-related factors converge to drive hypertension, with a primary focus on agents targeting vascular signaling, while also highlighting the prevalence and mechanisms associated with other targeted therapies. In the absence of dedicated guidelines, we critically appraise current management strategies and propose a framework for individualized care. By bridging pathophysiology with treatment approaches, this review identifies key knowledge gaps and underscores the need for multidisciplinary, oncology-specific hypertension management.
Insights
Cancer treatments can cause hypertension due to distinct mechanisms, particularly involving vascular signaling pathways. This review integrates these insights with management strategies for oncology patients, highlighting the need for specialized care.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Cancer therapies improve survival but commonly cause hypertension.
- Hypertension in cancer patients has unique mechanisms tied to treatments.
- Targeted therapies, especially those inhibiting vascular signaling, are key drivers.
Purpose of the Study:
- To review the mechanisms of cancer therapy-induced hypertension.
- To integrate mechanistic insights with clinical management strategies for oncology.
- To propose a framework for individualized hypertension management in cancer patients.
Main Methods:
- Literature review focusing on vascular signaling pathways and targeted therapies.
- Analysis of cancer biology and treatment factors contributing to hypertension.
- Critical appraisal of current management strategies and identification of knowledge gaps.
Main Results:
- Cancer treatments, particularly vascular endothelial growth factor (VEGF) inhibitors, frequently induce hypertension.
- Distinct molecular pathways are implicated in therapy-related hypertension.
- Current management strategies lack dedicated guidelines, necessitating tailored approaches.
Conclusions:
- Cancer therapy-induced hypertension is a significant complication requiring specialized management.
- Multidisciplinary, oncology-specific approaches are crucial for effective hypertension control.
- Further research is needed to refine management strategies and address knowledge gaps.
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