关于与结肠直肠癌药物治疗相关的心血管毒性最近的观点
Monu Kumar Kashyap1,2, Shubhada V Mangrulkar3, Sapana Kushwaha4
1Goel Institute of Pharmaceutical Sciences, Faizabad Road, Lucknow 226028, Uttar Pradesh, India.
Pharmaceuticals (Basel, Switzerland)
|October 28, 2023
概括
癌症疗法可能会损害心脏,特别是在结直肠癌 (CRC) 患者中. 本综述详细介绍了药物诱导的心脏毒性及其早期检测和管理的策略.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 心脏毒性是癌症治疗的显著不良影响,影响患者的治疗结果和生活质量.
- 结肠直肠癌 (CRC) 治疗,特别是化疗,与心血管并发症有关,影响高达39%的患者.
- 一种常见的CRC化疗,即5-甲,可以在1.5%至18%的患者中引起心脏毒性.
研究的目的:
- 审查与抗癌药物和结直肠癌向治疗相关的潜在心脏毒性.
- 确定和讨论早期诊断,预防和管理CRC患者心脏毒性的策略.
主要方法:
- 对心脏毒性机制和与结直肠癌治疗相关的临床数据的文献综述.
- 对参与药物诱导心脏毒性的信号通路的分析.
- 综合有关诊断和治疗方法的当前知识.
主要成果:
- 治疗CRC,包括5-甲和向疗法,可以通过复杂的机制诱导心脏毒性.
- 这些机制涉及信号通路 (例如,VEGF,PI3K/AKT/mTOR) 的调节,导致氧化应激,炎症和亡.
- 心血管功能障碍是接受化疗的CRC患者经常出现的并发症.
结论:
- 了解心脏毒性的机制对于减轻其影响至关重要.
- 早期检测,预防和管理策略对于改善接受治疗的结直肠癌患者的生活质量至关重要.
- 需要进一步的研究来完善癌症治疗引起的心脏毒性的诊断和治疗干预措施.
相关概念视频
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.9K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.9K
Cancer Prevention
6.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.2K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Factors Influencing Drug Absorption: Disease States and Pharmacology
536
Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
536
Drugs for Treatment of Ulcerative Colitis in IBD
149
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
149


