Oncohypertension: Unraveling the Link Between Cancer and Hypertension

Prakash Gudsoorkar1, Paul E Hanna2, Priti Meena3

  • 1Division of Nephrology, University of Cincinnati, Cincinncati, OH.

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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